Individual
MRS. TARA MARIE STRICKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
146 MEDICAL PARK RD 108, MOORESVILLE, NC 28117-8529
(704) 662-0877
(704) 662-0875
Mailing address
146 MEDICAL PARK RD 108, MOORESVILLE, NC 28117-8529
(704) 662-0877
(704) 662-0875
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
158606
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
078254
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053115
—
NC
Enumeration date
01/07/2008
Last updated
07/16/2015
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