MEDICARE: TARA BUITTA

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	374J00000X	Doula

General Provider Information

NPI Number	:	1871456301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA BUITTA

Provider Business Mailing Address
First Line	:	7307 W 71ST AVE
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80003-3425
Country	:	US
Telephone Number	:	401-598-6609
Fax Number	:

Provider Business Practice Location Address
First Line	:	7307 W 71ST AVE
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80003-3425
Country	:	US
Telephone Number	:	401-598-6609
Fax Number	:

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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Directions to “ TARA BUITTA ” Practice Location

Language	Start Address	Practice Location

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