NPI 1114402328

Tara Lynn Staats, NPC

Practitioner Family Medicine Physician Parkersburg, WV

Practice location

Address: 4 Rosemar Cir, Parkersburg, WV 26104-1219
Phone: (304) 865-5130
Fax: (304) 485-1519
Mailing address: 2407 Division Street Ext, Parkersburg, WV 26101-9390

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence APRN70596-NP-C (WV)

Other Family Medicine providers in West Virginia →

Registry record

NPI: 1114402328
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2018
Record last updated: 3 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.