MEDICARE: MS. TARA SHERIE MAJOR CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	SP011249	PA

General Provider Information

NPI Number	:	1659678464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TARA SHERIE MAJOR CRNP

Provider Business Mailing Address
First Line	:	4651 W CHESTER PIKE
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2226
Country	:	US
Telephone Number	:	610-356-0300
Fax Number	:	610-356-1981

Provider Business Practice Location Address
First Line	:	4651 W CHESTER PIKE
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2226
Country	:	US
Telephone Number	:	610-356-0300
Fax Number	:	610-356-1981

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2011
Last Update Date	:	09/01/2015

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