Provider Demographics
NPI:1831796903
Name:PIERAMI, TARA (CRNP FNP-C)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:PIERAMI
Suffix:
Gender:F
Credentials:CRNP FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 ROUTE 66 FL 3
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-2645
Mailing Address - Country:US
Mailing Address - Phone:732-807-0880
Mailing Address - Fax:
Practice Address - Street 1:2500 ENGLISH CREEK AVE BLDG 800
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5549
Practice Address - Country:US
Practice Address - Phone:609-833-9950
Practice Address - Fax:609-748-0441
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022219363LF0000X
NJ26NJ01232800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily