| Miss Tara Danielle Wingard, LPN | |
|
4202 E Cactus Rd Apt 7308, Phoenix, AZ 85032-0616 | |
| (870) 917-7118 | |
| Not Available |
| Full Name | Miss Tara Danielle Wingard |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 4202 E Cactus Rd Apt 7308, Phoenix, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972754794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | L47240 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Tara Danielle Wingard, LPN 4202 E Cactus Rd Apt 7308, Phoenix, AZ 85032-0616 Ph: (870) 917-7118 | Miss Tara Danielle Wingard, LPN 4202 E Cactus Rd Apt 7308, Phoenix, AZ 85032-0616 Ph: (870) 917-7118 |
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