Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tara Lynn Pettit, CRNA, MSN

Individual provider Registered Nurse · NPI 1205155223

Mrs. Tara Lynn Pettit, CRNA, MSN is a Certified Registered Nurse Anesthetist (CRNA) in Camden, New Jersey. Qualified in 2018, 8 years ago. Practices with Parkway Anesthesia Associates LLC, a 311-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
8
Licensed in
NJ
In the registry since
2010
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

1 Cooper Plz
Camden, NJ 08103-1461
Phone: (856) 342-2425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence NJ00305300 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 26NR11265000 (NJ)

Record details

NPI number1205155223
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA , MSN
Sole proprietorNo
NPI enumeratedJune 1, 2010
Last updated in NPPESApril 11, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Parkway Anesthesia Associates Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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