Shields, Tamara S

Shields, Tamara S is an individual health care provider with primary practice located at 512 Sagamore Pkwy W , West Lafayette IN 47906-1458. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shields, Tamara S can be contacted via phone (317) 873-6438.

Contact Information

Primary practice address
512 Sagamore Pkwy W West Lafayette IN 47906-1458
Phone: (317) 873-6438
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001447A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001447A Indiana

Profile Details

NPI number 1568422970
LBN Legal business name Shields, Tamara S
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Oct 7th, 2021 - about 5 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 1568422970 NPPES
Indiana MEDICAID 200383320

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