Individual
MRS. PAMELA BREEDEN TARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 547-8121
Mailing address
4308 FAIGLE RD, PORTSMOUTH, VA 23703-4813
(757) 483-6569
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024042596
VA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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