Individual provider · Type 1 NPI
Tara Marie Ice, NNP
Neonatal Nurse Practitioner · Tampa, FL
NPI number
1356207930
Active
Practice location
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Mailing address
1301 Concord Ter
Sunrise, FL 33323-2843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | 11045463 (FL) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1356207930
Tara Marie Ice, NNP's National Provider Identifier is 1356207930, issued on Dec 29, 2025. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Tampa, FL. The record was last updated on May 18, 2026.