Tara Ann Petersen

Counselor · Ewa Beach, HI

Individual Active NPI

NPI number 1760263040

Practice location

91-1841 Fort Weaver Rd
Ewa Beach, HI 96706-1909
Phone
(808) 343-4495

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NPI record

NPI
1760263040
Entity type
Individual (Type 1)
Enumeration date
October 11, 2023
Last updated
October 11, 2023
Certified
October 11, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — HI

About Tara Petersen

Tara Ann Petersen is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909. The NPI number 1760263040 was assigned on October 11, 2023 and the record was last updated on October 11, 2023.

Frequently asked questions

What is the NPI number of Tara Ann Petersen?

The NPI number is 1760263040.

What is the phone number of Tara Petersen?

The phone number listed for the practice location is (808) 343-4495.

Where is Tara Petersen located?

91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909.

What is the taxonomy code for Tara Petersen?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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