Tara D Ray CRNA, MSN

NPI 1982751418 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1982751418
Gender Female
Enumeration Date 01/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5501 OLD YORK RD
PHILADELPHIA PA, 19141-3018, US
Phone (215) 456-7977
Fax (215) 456-3459
Business Location
101 E OLNEY AVE
SUITE 400
PHILADELPHIA PA, 19120-2421, US
Phone (215) 456-7000
Fax (215) 254-2599
Toxanomy
Taxonomy Code 367500000X
License State Pennsylvania
License Number RN349865L
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According to our database, Tara D Ray CRNA, MSN NPI is 1982751418, taxonomy code is 367500000X and license number is RN349865L, license state is located at Pennsylvania. Tara D Ray CRNA, MSN physically located at 5501 Old York Rd, Philadelphia PA, 19141-3018. NPI Number Tara D Ray CRNA, MSN has the Individual type.

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1982751418 NPI number is provided on an as is basis without warranty of any kind. 1982751418 is maintained by the National Plan & Provider Enumeration System. The contents of Tara D Ray CRNA, MSN are for informational purposes only.