TARA PHELPS

PROVIDENCE, RI
NPI1033433073
Former NameTARA GAMACHE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: RI  RNA36712)
Enumeration Date2010-03-19
Last Update Date2013-10-04
Business Address
-- TARA PHELPS CRNA
593 EDDY STREET DAVOL 129
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4933
Mailing Address
-- TARA PHELPS CRNA
ONE VIRGINIA AVENUE SUITE 201
PROVIDENCE, RI 02905
Phone number: 401-490-0916