MS. TARA LYNN FAVIS NP-C NPI 1013279132

NPI Information

MS. Tara Lynn Favis, NP-C is a family nurse practitioner in Alpharetta, GA with 12 years of experience. MS. Tara Lynn Favis, NP-C NPI is 1013279132. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

9925 HAYNES BRIDGE RD
SUITE 320
ALPHARETTA, GA
ZIP 30022-532
Phone: (770) 777-7495

The NPI 1013279132 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2012 and was last updated on 6/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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