Individual
TARA MINAEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1423 R ST NW APT 301, WASHINGTON, DC 20009-3830
(203) 804-6817
Mailing address
1423 R ST NW APT 301, WASHINGTON, DC 20009-3830
(203) 804-6817
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP1059469
DC
Other
Enumeration date
10/15/2024
Last updated
01/30/2025
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