TARA HANLON (NPI# 1306366620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306366620 |
| Entity Type | Individual |
| Full Name | TARA HANLON |
| Credential | APRN |
| Practice Address |
14 Shamrock Drive Brookfield CT 06804 |
| Mailing Address |
14 Shamrock Dr Brookfield CT 06804-1823 |
| Practice Telephone | (203) 740-0876 |
| Mailing Telephone | 2037400876 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6785 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14 SHAMROCK DRIVE |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| 1316004104 | Rachel Kahn | Dentist | 109 Federal Road, Brookfield, CT 06804 | 2007-01-02 |
| Find all providers in zip 06804 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1295373223 | Joan Marie Bennett | Nurse Practitioner | 125 N Executive Dr Ste 100, Brookfield, WI 53005-6070 | 2019-12-20 |
| 1548821747 | Shirley L Arnold | Nurse Practitioner | 624 West Lockling Avenue, Brookfield, MO 64628 | 2019-06-27 |
| 1518369024 | Michael Paul Holtz | Nurse Practitioner | 624 W Lockling St, Brookfield, MO 64628-2003 | 2014-09-16 |
| 1235392218 | Bohdan Kontsevyy | Nurse Practitioner | 3631 Forest Ave Unit P, Brookfield, IL 60513-2262 | 2008-07-09 |
| 1487606794 | Leann Walker | Nurse Practitioner | 1350 Sunny Slope Road, Sunnyslope Primary Care Clinic, Brookfield, WI 53005 | 2006-05-16 |
| 1225644909 | Romy A Desai | Nurse Practitioner | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2020-09-18 |
| 1457969156 | Stefanie Renee Malesevich | Nurse Practitioner | 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005-5959 | 2020-07-19 |
| 1508482563 | Eula Lewis | Nurse Practitioner | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2020-06-24 |
| 1891327458 | Marissa Bunn | Nurse Practitioner | 17000 W North Ave Ste 107w, Brookfield, WI 53005-4423 | 2020-02-11 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
Please comment or provide details below to improve the information on TARA HANLON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.