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Individual

EMILY TAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Mailing address
2117 W SAINT SOPHIA ST, TAMPA, FL 33607-6525

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9598218
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
1205695
TX

Other

Enumeration date
01/21/2025
Last updated
07/11/2025
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