TARA N PEACOCK CNP NPI 1376976332

NPI Information

NPI: 1376976332
Provider Name: TARA N PEACOCK, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1021 BANDANA BLVD E
SUITE 100
SAINT PAUL, MN
ZIP 55108
Phone: (651) 241-9700
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Tara N Peacock, CNP is an adult health nurse practitioner in Saint Paul, MN. Tara N Peacock, CNP NPI is 1376976332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1021 BANDANA BLVD E
SUITE 100
SAINT PAUL, MN
ZIP 55108-113
Phone: (651) 241-9700

The enumeration date for this NPI number is 8/14/2013 and was last updated on 3/3/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	R1753372	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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