MEDICARE: TARA PRICE CRNP FNP-C

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	SP022219	PA
2	363LF0000X	Family Nurse Practitioner	26NJ01232800	NJ

General Provider Information

NPI Number	:	1831796903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA PRICE CRNP FNP-C

Provider Business Mailing Address
First Line	:	3600 ROUTE 66 FL 3
Second Line	:
City	:	NEPTUNE
State	:	NJ
Zip	:	07753-2645
Country	:	US
Telephone Number	:	732-807-0880
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 ENGLISH CREEK AVE BLDG 800
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-5549
Country	:	US
Telephone Number	:	609-833-9950
Fax Number	:	609-748-0441

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

Provider Enumeration Date	:	10/02/2020
Last Update Date	:	01/08/2026

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Directions to “ TARA PRICE CRNP FNP-C” Practice Location

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