Provider Demographics
NPI:1659678464
Name:MAJOR, TARA SHERIE (CRNP)
Entity Type:Individual
Prefix:MS
First Name:TARA
Middle Name:SHERIE
Last Name:MAJOR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4651 W CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2226
Mailing Address - Country:US
Mailing Address - Phone:610-356-0300
Mailing Address - Fax:610-356-1981
Practice Address - Street 1:4651 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2226
Practice Address - Country:US
Practice Address - Phone:610-356-0300
Practice Address - Fax:610-356-1981
Is Sole Proprietor?:No
Enumeration Date:2011-02-15
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011249363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily