Individual
TARA TAVEGGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2300
Mailing address
55295 AZINGER DR, MACOMB, MI 48042
(586) 703-4867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704275912
MI
Other
Enumeration date
03/27/2017
Last updated
08/17/2025
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