NPI 1992101331 · live from the CMS NPI Registry
Tara Bowman, RD
Dietitian, Registered in Evergreen, AL. National Provider Identifier 1992101331, active.
NPI record
| NPI | 1992101331 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 344 Bruner Ave, Evergreen, AL 36401 |
| Practice phone | 602-618-9883 |
| Enumerated | November 12, 2014 |
| Last updated | September 5, 2019 |
| Sole proprietor | Yes |
| Other names | Tara Mcqueen |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.