Provider Demographics
NPI:1245912468
Name:DOHNING, TARA LYNN
Entity type:Individual
Prefix:MRS
First Name:TARA
Middle Name:LYNN
Last Name:DOHNING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 N VAN DYKE RD
Mailing Address - Street 2:
Mailing Address - City:BAD AXE
Mailing Address - State:MI
Mailing Address - Zip Code:48413-9188
Mailing Address - Country:US
Mailing Address - Phone:989-269-9229
Mailing Address - Fax:989-269-2587
Practice Address - Street 1:721 N VAN DYKE RD # 7
Practice Address - Street 2:
Practice Address - City:BAD AXE
Practice Address - State:MI
Practice Address - Zip Code:48413-9188
Practice Address - Country:US
Practice Address - Phone:989-269-9229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist