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TAMARA CHRISTINE IRELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7042
(207) 283-7047
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7042
(207) 283-7047

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
066334
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
002528
CT
367500000X
Certified Registered Nurse Anesthetist
C01203
AR
367500000X
Certified Registered Nurse Anesthetist
RNA83338
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063404010
ME
05
142730701
AR
01
5U902
AR BLUE CROSS BLUE SHIELD
AR
01
RNA83338
LICENSE
ME
Enumeration date
08/16/2005
Last updated
05/03/2019
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