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Individual

TATIANA P MCCUEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
205 TUSCARORA RD, CARTHAGE, NC 28327-8985
(910) 322-5787
Mailing address
205 TUSCARORA RD, CARTHAGE, NC 28327-8985
(910) 322-5787

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
127620
NC
367500000X
Certified Registered Nurse Anesthetist
ARNP3243742
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8051616
NC
Enumeration date
07/13/2005
Last updated
10/03/2013
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