IndividualActive
Tara Nichols, ARNP
NPI 1629690508 · Gerontology Nurse Practitioner · Mason City, IA
Provider details
- NPI number
- 1629690508
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- License
- W158701 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
910 N Eisenhower Ave
Mason City, IA 50401-1525
Phone: (641) 428-5911
Fax: (641) 428-5927
Approximate (ZIP-level) locationGet directions
Mailing address
600 1st St Nw Ste 101
Mason City, IA 50401-2932
Registry dates
- Enumerated
- 2020-05-13
- Last updated
- 2020-05-13
- Certified
- 2020-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.