TARA SHOULDIS

Nurse Practitioner - Pediatrics

Active Individual
NPI: 1386435139

Practice Address

593 EDDY ST
Providence, RI 02903

Phone: (401) 444-4000

Specialties

Specialty Code Primary License
Registered Nurse - Pediatrics 163WP0200X No 80652 (RI)
Nurse Practitioner - Pediatrics 363LP0200X Yes APRN04746 (RI)

Frequently Asked Questions

NPI 1386435139 is the National Provider Identifier for TARA SHOULDIS, a Nurse Practitioner - Pediatrics provider located in Providence, RI. This NPI was enumerated on May 13, 2025.
TARA SHOULDIS practices at 593 EDDY ST, Providence, RI 02903.

Quick Facts

NPI
1386435139
Type
Individual
Enumerated
May 13, 2025
Last Updated
Aug 12, 2025

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