Individual
TIARA TANEE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1450 5TH ST SE STE 3200, PUYALLUP, WA 98372-4689
(253) 697-3550
(253) 697-3490
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
(253) 274-7991
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN60968923
WA
367A00000X
Advanced Practice Midwife
Primary
AP61338414
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2215256
—
WA
Enumeration date
05/25/2021
Last updated
12/10/2024
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