Individual provider · Type 1 NPI
Tara Vace
Acute Care Nurse Practitioner · Riverside, CA
NPI number
1477464550
Active
Practice location
17079 Broken Rock Ct
Riverside, CA 92503-0248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95039629 (CA) |
Acute Care Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1477464550
Tara Vace's National Provider Identifier is 1477464550, issued on Sep 16, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Riverside, CA. The record was last updated on Sep 16, 2026.