MEDICARE: TARA N ROZIER NP

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	5012407	NC
2	363L00000X	Nurse Practitioner	5012407	NC

General Provider Information

NPI Number	:	1033752415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA N ROZIER NP

Provider Business Mailing Address
First Line	:	588 BAILEY RD STE F
Second Line	:
City	:	LUMBERTON
State	:	NC
Zip	:	28358-2470
Country	:	US
Telephone Number	:	910-593-6267
Fax Number	:

Provider Business Practice Location Address
First Line	:	588 BAILEY RD STE F
Second Line	:
City	:	LUMBERTON
State	:	NC
Zip	:	28358-2470
Country	:	US
Telephone Number	:	910-593-6267
Fax Number	:

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

Provider Enumeration Date	:	10/18/2019
Last Update Date	:	06/25/2026

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Directions to “ TARA N ROZIER NP” Practice Location

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