Individual provider · Type 1 NPI

Tara Hannah Shouldis

Pediatric Nurse Practitioner · Providence, RI

NPI number 1386435139 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

110 Elm St
Providence, RI 02903-4626

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200X80652 (RI)
Pediatric Nurse Practitioner Primary 363LP0200XAPRN04746 (RI)

Pediatric Nurse Practitioner: Definition to come...

2,340 other providers at this address

Other pediatric nurse practitioner providers in Providence

See all in Providence →

About NPI 1386435139

Tara Hannah Shouldis's National Provider Identifier is 1386435139, issued on May 13, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Providence, RI. The record was last updated on Aug 12, 2025.