Individual
JEANNIE TARAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
460 N STATE ROAD 7, ROYAL PALM BEACH, FL 33411-3514
(561) 792-7333
Mailing address
100 HOSPITAL DR, BENNINGTON, VT 05201-5004
(802) 447-4535
(802) 447-4537
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
101-0025491
VT
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11001980
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114048700
—
FL
Enumeration date
09/03/2006
Last updated
06/28/2024
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