Provider Demographics
NPI:1578323549
Name:BURGER, TARA JENSEN HEALEY (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:JENSEN HEALEY
Last Name:BURGER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:JENSEN
Other - Last Name:HEALEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:981 ROOKS CIR
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-7551
Mailing Address - Country:US
Mailing Address - Phone:530-838-8420
Mailing Address - Fax:
Practice Address - Street 1:981 ROOKS CIR
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-7551
Practice Address - Country:US
Practice Address - Phone:530-838-8420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0036004363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily