Individual
TARA MARIE STEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 624-8000
Mailing address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 624-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
260968
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
260968
MA
390200000X
Student in an Organized Health Care Education/Training Program
RN260968
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN260968
RN LICENSE
MA
Enumeration date
08/11/2021
Last updated
04/15/2025
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