TARA NICHOLS ARNP
NPI 1629690508
Nurse Practitioner - Gerontology in Mason City, IA
Active since May 13, 2020
910 N EISENHOWER AVE, MASON CITY, IA 50401(641) 428-5911(641) 428-5927 Get Directions Write a Review
About Tara Nichols Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA NICHOLS ARNP (NPI 1629690508) is an individual gerontology provider in Mason City, Iowa, licensed in Iowa (W158701) and active in the NPI registry since May 2020.
NPPES Registry Identity
NPI1629690508
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTARA NICHOLSCredential: ARNP
Location Address910 N EISENHOWER AVEMason City, IA 50401-1525
Mailing Address600 1st St Nw Ste 101Mason City, IA 50401-2932 · (641) 428-3041
Phone(641) 428-5911
Fax(641) 428-5927
Sole ProprietorNo
Enumeration DateMay 13, 2020
NPPES CertifiedMay 13, 2020
✔ NPI 1629690508 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IA · W158701
910 N EISENHOWER AVE, Mason City, IA 50401
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
910 N EISENHOWER AVE
MASON CITY, IA 50401
MASON CITY, IA 50401
Dietitian, Registered (Nutrition, Renal)
910 N EISENHOWER AVE, SUITE MOD
MASON CITY, IA 50401
MASON CITY, IA 50401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629690508, enumerated as an "individual" on May 13, 2020.
The provider is located at 910 N EISENHOWER AVE MASON CITY, IA 50401 and the phone number is (641) 428-5911.
Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.
