Individual provider · Type 1 NPI

Tara Marie Mocker

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1245941145 Active

Practice location

1050 Wishard Blvd
Indianapolis, IN 46202-2872

Call (317) 274-7447 Map

Mailing address

2324 E Royal Ct
Des Peres, MO 63131-1941

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245941145

Tara Marie Mocker's National Provider Identifier is 1245941145, issued on Dec 12, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 12, 2022.