Individual
TARA KRISTEN AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
500 UNIVERSITY DRIVE, HERSHEY, PA 17033-2360
(717) 551-6597
Mailing address
PO BOX 858, MC CA410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
143333
PA
Other
Enumeration date
05/18/2023
Last updated
10/15/2024
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