Individual provider · Type 1 NPI

Tara Laine Mainieri, NURSE PRACTITIONER

Family Nurse Practitioner · Kingston, NY

NPI number 1417443433 Active

Practice location

105 Marys Ave
Kingston, NY 12401-5848

Call (845) 338-2500 Map

Fax (845) 802-7362

Mailing address

396 Broadway
Kingston, NY 12401-4626

Other practice locations

396 Broadway, Kingston, NY 12401-4626 · (845) 331-3131

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	343244 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1417443433

Tara Laine Mainieri, NURSE PRACTITIONER's National Provider Identifier is 1417443433, issued on Jul 2, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingston, NY. The record was last updated on Jan 17, 2019.