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Individual

TARA BETH TROFA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, BSN, CRNA, CCRN

Contact information

Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(704) 902-8085
Mailing address
64 MIDLAND PL APT 2511, TUCKAHOE, NY 10707-4250
(704) 902-8085

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
169590
CT
163W00000X
Registered Nurse
267282
NC
163W00000X
Registered Nurse
781579
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
124323
NC

Other

Enumeration date
11/16/2019
Last updated
11/08/2021
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