NPI 1033433073
Tara Phelps, CRNA
Practice location
- Address
- 593 Eddy Street Davol 129, Providence, RI 02903-4923
- Phone
- (401) 444-4933
- Fax
- (401) 444-5090
- Mailing address
- One Virginia Avenue Suite 201, Providence, RI 02905
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1033433073
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Mar 2010
- Record last updated
- 4 Oct 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.