MEDICARE: TAMARA LYNN WARD RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	6132469	WA

General Provider Information

NPI Number	:	1225819485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA LYNN WARD RN

Provider Business Mailing Address
First Line	:	1000 N ARGONNE RD
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99212-2600
Country	:	US
Telephone Number	:	509-534-4300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1208 E HOFFMAN AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99207-3233
Country	:	US
Telephone Number	:	215-805-2281
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	10/12/2023

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