NPI 1063642395

Tara L Crews, CRNA

Practitioner Certified Registered Nurse Anesthetist Mattoon, IL

Practice location

Address: 1000 Health Center Dr, Mattoon, IL 61938-4644
Phone: (217) 258-2440
Mailing address: PO Box 372, Mattoon, IL 61938-0372

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 209007675 (IL)

Other Nurse Anesthetist, Certified Registered providers in Illinois →

Registry record

NPI: 1063642395
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jul 2009
Record last updated: 1 Feb 2024

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.