NPI Profile for TARA BLUMENSHINE in RIVERTON, WY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Advanced Practice Midwife |
367A00000X | 42 | Certified Nurse Midwife |
| NPI Number | 1588026009 |
|
| Status | Active | |
| Credentials | APRN, CNM FNP | |
| Entity | Individual | |
| Enumeration date | 03/23/2016 | |
| Last updated | 08/26/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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TARA BLUMENSHINE
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