White, Tamara

White, Tamara is an individual health care provider with primary practice located at 5940 Merchant Dr , Florence KY 41042-1158. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. White, Tamara can be contacted via phone (513) 672-4128.

Contact Information

Primary practice address
5940 Merchant Dr Florence KY 41042-1158
Phone: (513) 672-4128
Fax: (513) 672-4479
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1080720 Kentucky

Profile Details

NPI number 1396886834
LBN Legal business name White, Tamara
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jul 8th, 2007 - about 19 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 1396886834 NPPES
Ohio MEDICAID 2182169
Ohio MEDICAID 78003365

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