Most Relevant Information
Provider Data
NPI Number: | 1003252404 |
Provider Name: | TARA ORR CRNA |
Entity Type: | Individual |
Taxonomy Code: | 367500000X |
Specialty: | Nurse Anesthetist, Certified Registered |
License Number: | APN17592 |
Most Important Dates
Enumeration Date: | 05/13/2013 |
Last Updated: | 08/13/2013 |
Provider Practice Location
1068 CRESTHAVEN RD
SUITE 150
MEMPHIS
TN
381190800
Practice Location Phone/Fax
Phone: | 9016822872 |
Fax: |
Provider Mailing Location
1068 CRESTHAVEN RD
SUITE 150
MEMPHIS
TN
381190800
Provider Mailing Phone/Fax
Phone: | 9016822872 |
Fax: |