Individual
MS. TARA TRAPANI INGRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4407 HWY 190 SERVICE ROAD EAST, SUITE 200, COVINGTON, LA 70433
(985) 234-9700
(985) 234-9706
Mailing address
719 SWEET BAY DRIVE, MANDEVILLE, LA 70448
(504) 427-4693
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
050308
LA
Other
Enumeration date
07/11/2006
Last updated
12/04/2014
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