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NPI Code Detail

MEDICARE: ALICIA TEMBO FNP-C

MEDICARE: ALICIA TEMBO FNP-C
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
1363LF0000XFamily Nurse PractitionerF09230211IN

General Provider Information

NPI Number : 1326826512
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA TEMBO FNP-C
Provider Business Mailing Address
First Line : 2626 17TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5417
Country : US
Telephone Number : 812-314-8000
Fax Number :
Provider Business Practice Location Address
First Line : 2626 17TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5417
Country : US
Telephone Number : 812-314-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2023
Last Update Date : 09/19/2023

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Directions to “ ALICIA TEMBO FNP-C” Practice Location

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