Individual
TARA MUNROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
925 HIGHLAND BLVD STE 1180, BOZEMAN, MT 59715-6905
(406) 582-4963
(706) 396-3252
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(888) 209-0305
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
087174
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-100960
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194907543
—
MT
Enumeration date
11/28/2007
Last updated
08/21/2020
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