TARA DEVILLE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277001387

License Status

ACTIVE

Business

First Name

TARA

Last Name

DEVILLE

Business Name

TARA DEVILLE

BusinessDBA

TARA BOUDOIN

Original Issue Date

05/01/2021

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

SAN FRANCISCO

State

Zip

94111

Ever Disciplined

LastModifiedDate

03/02/2026