MEDICARE: TARA STARR WILSON LPN

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	164W00000X	Licensed Practical Nurse	157760	OH

General Provider Information

NPI Number	:	1740640762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA STARR WILSON LPN

Provider Business Mailing Address
First Line	:	3011 FERGUSON RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-2430
Country	:	US
Telephone Number	:	513-815-2895
Fax Number	:

Provider Business Practice Location Address
First Line	:	3011 FERGUSON RD
Second Line	:	2
City	:	CINCINNATI
State	:	OH
Zip	:	45238-2430
Country	:	US
Telephone Number	:	513-815-2895
Fax Number	:

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

Provider Enumeration Date	:	03/03/2016
Last Update Date	:	03/03/2016

Similar Medicare Providers

1558684894 — TANIKA L PRICE
Practice Location Address:

3003 FERGUSON RD , 2
CINCINNATI, OH
45238-2430

Practice Phone: 513-386-8266
Practice Fax:

1164740007 — TANIKA L. PRICE
Practice Location Address:

3003 FERGUSON RD , 2
CINCINNATI, OH
45238-2430

Practice Phone: 513-386-8865
Practice Fax:

1821395385 — THOMAS E GEORGE
Practice Location Address:

3003 FERGUSON RD , 2
CINCINNATI, OH
45238-2430

Practice Phone: 513-264-2773
Practice Fax:

1447642715 — PHYSICIAN ASSETS RETENTION
Practice Location Address:

234 FOREST AVE
CINCINNATI, OH
45229-2430

Practice Phone: 513-751-6972
Practice Fax:

1467126839 — ESSENCE WASHINGTON
Practice Location Address:

2430 SPRINGDALE RD
CINCINNATI, OH
45231-1810

Practice Phone: 513-284-7853
Practice Fax:

1336004779 — CARLOS R WILLIAMS
Practice Location Address:

4968 GLENWAY AVE
CINCINNATI, OH
45238-3902

Practice Phone: 513-751-7747
Practice Fax:

Directions to “ TARA STARR WILSON LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.