Mcnally, Tamara Ann

Mcnally, Tamara Ann is an individual health care provider with primary practice located at 420 W 4Th St , Mishawaka IN 46544-1948. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mcnally, Tamara Ann can be contacted via phone (574) 252-0304.

Contact Information

Primary practice address
420 W 4Th St Mishawaka IN 46544-1948
Phone: (574) 252-0304
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 72000001A Indiana

Profile Details

NPI number 1275570129
LBN Legal business name Mcnally, Tamara Ann
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jun 11th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275570129 NPPES
Indiana Other 000000578093 BLUE CROSS
Indiana MEDICAID 100466420 BLUE CROSS
Indiana Other 11479732 BLUE CROSS

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