Individual
TARA DUPUY HERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1840 N JASPER DR STE 1, FLAGSTAFF, AZ 86001-1634
(928) 558-7001
Mailing address
322 PLEASANT HILL RD, LANDRUM, SC 29356-8727
(864) 468-5429
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2925652
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
293397
AZ
Other
Enumeration date
07/24/2006
Last updated
06/22/2023
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