Individual provider · Type 1 NPI

Tara Cormier

Emergency Registered Nurse · Gallup, NM

NPI number 1912406166 Active

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Mailing address

29486 Road S.2
Dolores, CO 81323-8910

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003XRN126786 (AZ)

Emergency Registered Nurse: Definition to come...

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About NPI 1912406166

Tara Cormier's National Provider Identifier is 1912406166, issued on Feb 2, 2018. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Gallup, NM. The record was last updated on Feb 2, 2018.