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

MS. Tara Lynn Favis, NP-C

Individual provider Family Nurse Practitioner · NPI 1013279132

MS. Tara Lynn Favis, NP-C is a Family Nurse Practitioner in Sacramento, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

77 Cadillac Dr Ste 200
Sacramento, CA 95825-8337
Phone: (916) 454-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95013467 (CA)

Record details

NPI number1013279132
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJune 14, 2012
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

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