Provider Demographics
NPI:1154642080
Name:ALSTON, TARA STEIB (APRN, ANP)
Entity Type:Individual
Prefix:MRS
First Name:TARA
Middle Name:STEIB
Last Name:ALSTON
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Gender:F
Credentials:APRN, ANP
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Other - First Name:
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Mailing Address - Street 1:50 LOUIS PRIMA DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-5903
Mailing Address - Country:US
Mailing Address - Phone:985-892-8934
Mailing Address - Fax:985-892-8937
Practice Address - Street 1:50 LOUIS PRIMA DR
Practice Address - Street 2:SUITE A
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-5903
Practice Address - Country:US
Practice Address - Phone:985-892-8934
Practice Address - Fax:985-892-8937
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LARN106205-AP06064363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health