Provider Demographics
NPI:1942661533
Name:CURTIS, TARA B (FNP-C)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:B
Last Name:CURTIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 S COULTER ST STE 400
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1769
Mailing Address - Country:US
Mailing Address - Phone:806-356-2280
Mailing Address - Fax:806-356-0045
Practice Address - Street 1:1215 S COULTER ST STE 302
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1768
Practice Address - Country:US
Practice Address - Phone:806-356-2280
Practice Address - Fax:806-356-0045
Is Sole Proprietor?:No
Enumeration Date:2016-03-10
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX720810363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily