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Search › Hawaii › 101Y00000X

Tara Petersen

NPI 1760263040 · on the registry since 2023 · sole proprietor

Practice

Address
91-1841 Fort Weaver Rd
Ewa Beach, HI 96706
Phone
(808) 343-4495
Organisation at this address
Child And Family Service
Child And Family Service
Child And Family Service
The Institute For Family Enrichment
Waianae District Comprehensive Health And Hospital Board, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
129

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
HI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-11

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 Hawaii