Provider Demographics
NPI:1831922145
Name:STERANKO, TARA RENEE (CNP)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:RENEE
Last Name:STERANKO
Suffix:
Gender:
Credentials:CNP
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:RENEE
Other - Last Name:DEARWESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:125 S HEATHER HILL DR
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-2703
Mailing Address - Country:US
Mailing Address - Phone:937-407-6557
Mailing Address - Fax:
Practice Address - Street 1:125 S HEATHER HILL DR
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-2703
Practice Address - Country:US
Practice Address - Phone:937-407-6557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0037379364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health