Nurse Practitioner, Pediatrics
TARA FORSTIE NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1285005470 · enumerated 2015-10-13 · record updated 2023-03-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: TARA FREDRICKSON
Addresses and phones
- Practice location 19829 N 27TH AVE, PHOENIX, AZ, 85027-4001 (602) 769-1137 Google Maps Apple Maps OpenStreetMap
- Mailing address 515 E CAREFREE HWY # 299, PHOENIX, AZ, 85085-8839 (602) 769-1137 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Acute Care 363LA2100X · License RN00000099202 AZ
- Nurse Practitioner, Acute Care 363LA2100X · License 1161 CO
- Nurse Practitioner, Pediatrics 363LP0200X · License r53837 ND
- Nurse Practitioner, Pediatrics 363LP0200X · License 9886 MN
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License ap8273 AZ
In this directory
Locations and evidence
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Practice location
PHOENIX, AZ, 850274001
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.