Provider Demographics
NPI:1184981466
Name:DELLE CHIAIE, TARA JEAN (FNP)
Entity type:Individual
Prefix:MRS
First Name:TARA
Middle Name:JEAN
Last Name:DELLE CHIAIE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1 MERRILL INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-1981
Mailing Address - Country:US
Mailing Address - Phone:603-783-1087
Mailing Address - Fax:603-369-4689
Practice Address - Street 1:1 MERRILL INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-1981
Practice Address - Country:US
Practice Address - Phone:603-783-1087
Practice Address - Fax:603-369-4689
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2023-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH058742-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily