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NPI Code Detail

MEDICARE: TAMARA T MEISEL ARNP

MEDICARE: TAMARA T MEISEL ARNP
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 Practitioner44686KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2060247OTHERKSBC/BS PROVIDER NUMBER

General Provider Information

NPI Number : 1417942186
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA T MEISEL ARNP
Provider Business Mailing Address
First Line : 106 W RUSSELL RD
Second Line :
City : LAKIN
State : KS
Zip : 67860-9788
Country : US
Telephone Number : 620-355-7589
Fax Number : 620-275-4729
Provider Business Practice Location Address
First Line : 712 SAINT JOHN ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-5128
Country : US
Telephone Number : 620-275-1766
Fax Number : 620-275-4729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 09/15/2010

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