Tara Hannah Shouldis
Tara Hannah Shouldis is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Rhode Island.
- Years since qualifying
- 1
- Licensed in
- RI
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
593 Eddy StProvidence, RI 02903-4923
Phone: (401) 444-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence APRN04746 (RI) |
|---|---|
| Pediatric Registered Nurse | Taxonomy 163WP0200X · Licence 80652 (RI) |
Record details
| NPI number | 1386435139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 13, 2025 |
| Last updated in NPPES | August 12, 2025 |
| Certification date | July 16, 2025 |
| Mailing address | 110 Elm St, Providence, RI 02903-4626 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Providence
-
Jennifer McKinnon, REGISTEREDNURSE
153 Summer St, Providence, RI 02903-4011 · (401) 276-4300
-
Debra P Minogue, RN
593 Eddy St, Providence, RI 02903-4923 · (401) 444-9310
-
Debra Ann Quinton
134 Thurbers Ave, Providence, RI 02905-4754 · (401) 331-1350
-
Mary Seccareccia, RN
593 Eddy St, Providence, RI 02903-4923 · (401) 444-8982