Individual
TAMARA J MAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
(606) 408-7426
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3006732
KY
367500000X
Certified Registered Nurse Anesthetist
69920
WV
Other
Enumeration date
07/08/2011
Last updated
06/27/2024
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