Provider Demographics
NPI:1336958214
Name:GINDER, TARA
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:GINDER
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 1:314 N HULL AVE
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NE
Mailing Address - Zip Code:68959-1756
Mailing Address - Country:US
Mailing Address - Phone:308-830-5283
Mailing Address - Fax:
Practice Address - Street 1:314 N HULL AVE
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NE
Practice Address - Zip Code:68959-1756
Practice Address - Country:US
Practice Address - Phone:308-830-5283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care