SearchDistrict of Columbia363A00000X

Tara Wilson, PA-C

NPI 1174006035 · on the registry since 2018

Practice

Address
110 Irving Sreet Nw
Room 4b-42
Washington, DC 20010
Phone
(724) 831-6122

Additional practice sites

  • 1200 N Elm St, Greensboro, NC

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in District of Columbia