Individual provider · Type 1 NPI
Tara Rene Blackwelder, NP-C
Family Nurse Practitioner · Cannon Afb, NM
NPI number
1831526557
Active
Practice location
224 W D. L. Ingram Avenue, Bldg. 1408
Cannon Afb, NM 88103-5014
Mailing address
27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408
Cannon Afb, NM 88103-5014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 115187 (NE) |
Family Nurse Practitioner: Definition to come...
12 other providers at this address
- Abbey LindholmFamily Medicine Physician Cannon Afb, NM NPI 1528702453
- April Marie Vanhorn, IDMTIndependent Duty Medical Technicians Cannon Afb, NM NPI 1811730138
- Briana Alyssa DanielClinical Social Worker Cannon Afb, NM NPI 1174363535
- Heather Kimbrell Lopez, RNRegistered Nurse Cannon Afb, NM NPI 1699500785
- Janna Shaye Kohler, RN-BSNRegistered Nurse Clovis, NM NPI 1902632086
- Joseph Lee, PharmDPharmacist Cannon Afb, NM NPI 1942908876
- Kevin WalpOptometrist Cannon Afb, NM NPI 1326888348
- Maverick Lee PetersonIndependent Duty Medical Technicians Cannon Afb, NM NPI 1346028149
- Nancy Barquin Barron, LPCProfessional Counselor Cannon Afb, NM NPI 1255901260
- Rebekah Ann Villarreal, LMHCMental Health Counselor Cannon Afb, NM NPI 1235714122
- Riley Everson, LCSWClinical Social Worker Cannon Afb, NM NPI 1295160190
- Taylor Buessing, DPTOrthopedic Physical Therapist Cannon Afb, NM NPI 1366965238
Other family nurse practitioner providers in Cannon Afb
About NPI 1831526557
Tara Rene Blackwelder, NP-C's National Provider Identifier is 1831526557, issued on Sep 27, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cannon Afb, NM. The record was last updated on Dec 11, 2025.