Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tara Lovett Dettra, LM, CPM

Individual provider Midwife · NPI 1790929438

Mrs. Tara Lovett Dettra, LM, CPM is a Midwife in Saint Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2009

Practice location Address checks out

1093 A1A Beach Blvd Pmb 285
Saint Augustine, FL 32080-6733
Phone: (904) 540-7994
Fax: (904) 471-4980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence MW 227 (FL)

Record details

NPI number1790929438
Entity typeIndividual (Type 1)
GenderFemale
Credentials LM , CPM
Sole proprietorYes
NPI enumeratedApril 24, 2009
Last updated in NPPESApril 24, 2009

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