Individual
TARA MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 200, HAGERSTOWN, MD 21742-6797
(301) 714-4400
Mailing address
11110 MEDICAL CAMPUS RD STE 200, HAGERSTOWN, MD 21742-6797
(301) 714-4400
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
106273
WV
363LP0200X
Pediatric Nurse Practitioner
Primary
AC003142
MD
Other
Enumeration date
07/25/2016
Last updated
01/11/2022
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