Most Relevant Information
Provider Data
| NPI Number: | 1003389941 |
| Provider Name: | TARA N LOVELAND NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2019000559 |
Most Important Dates
| Enumeration Date: | 01/03/2019 |
| Last Updated: | 10/16/2023 |
Provider Practice Location
155 VILLAGE DR
SPARTA
MO
657538104
Practice Location Phone/Fax
| Phone: | 4176344203 |
| Fax: | 4176344505 |
Provider Mailing Location
155 VILLAGE DR
SPARTA
MO
657538104
Provider Mailing Phone/Fax
| Phone: | 4176344203 |
| Fax: | 4176344505 |