Individual
MRS. INNA TARASOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN ACNP
Contact information
Practice address
7740 SHRADER RD STE A, HENRICO, VA 23228-2500
(804) 501-1600
(804) 501-2150
Mailing address
1606 WESTBURY DR, HENRICO, VA 23229-4831
(804) 673-0780
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024169153
VA
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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