Provider Demographics
NPI:1679206494
Name:SEAY, TARA T (FNP-C)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:T
Last Name:SEAY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13737 SPOTSWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22827-3200
Mailing Address - Country:US
Mailing Address - Phone:540-713-4100
Mailing Address - Fax:757-579-8587
Practice Address - Street 1:13737 SPOTSWOOD TRL
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:VA
Practice Address - Zip Code:22827-3200
Practice Address - Country:US
Practice Address - Phone:540-713-4100
Practice Address - Fax:757-579-8587
Is Sole Proprietor?:No
Enumeration Date:2022-07-08
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDAC004894363L00000X
VA0024185926363LF0000X
VA0001238969163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse