Individual provider · Type 1 NPI
Tara Nichols, ARNP
Gerontology Nurse Practitioner · Mason City, IA
NPI number
1629690508
Active
Practice location
910 N Eisenhower Ave
Mason City, IA 50401-1525
Fax (641) 428-5927
Mailing address
600 1st St NW Ste 101
Mason City, IA 50401-2932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | W158701 (IA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1629690508
Tara Nichols, ARNP's National Provider Identifier is 1629690508, issued on May 13, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Mason City, IA. The record was last updated on May 13, 2020.