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Individual

MS. TARA K HIEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
161 MARGINAL WAY, PORTLAND, ME 04101-2438
(207) 773-7964
(207) 773-9073
Mailing address
161 MARGINAL WAY, PORTLAND, ME 04101-2438
(207) 773-7964
(207) 773-9073

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP81240
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1679681456
ME
Enumeration date
08/29/2006
Last updated
12/23/2019
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