MEDICARE: TARA LYNN BARROW RN

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	163WS0200X	School Registered Nurse	L1-0041331	DE

General Provider Information

NPI Number	:	1669134524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA LYNN BARROW RN

Provider Business Mailing Address
First Line	:	1275 CEDAR LANE RD
Second Line	:
City	:	MIDDLETOWN
State	:	DE
Zip	:	19709-9636
Country	:	US
Telephone Number	:	302-696-2018
Fax Number	:

Provider Business Practice Location Address
First Line	:	1275 CEDAR LANE RD
Second Line	:
City	:	MIDDLETOWN
State	:	DE
Zip	:	19709-9636
Country	:	US
Telephone Number	:	302-696-2018
Fax Number	:

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

Provider Enumeration Date	:	10/08/2021
Last Update Date	:	10/08/2021

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