Healthcare Provider Details
I. General information
NPI: 1215447826
Provider Name (Legal Business Name): TAMARA LYNNE OEHLER MSN, BSN, RN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/09/2017
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6715 MILAN DR
LINCOLN NE
68526-9736
US
IV. Provider business mailing address
6715 MILAN DR
LINCOLN NE
68526-9736
US
V. Phone/Fax
- Phone: 859-760-1031
- Fax:
- Phone: 859-760-1031
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 114821 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 28244883A |
| License Number State | IN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WM0705X |
| Taxonomy | Medical-Surgical Registered Nurse |
| License Number | 1141752 |
| License Number State | KY |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 424853 |
| License Number State | OH |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WM0705X |
| Taxonomy | Medical-Surgical Registered Nurse |
| License Number | 424853 |
| License Number State | OH |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WX0200X |
| Taxonomy | Oncology Registered Nurse |
| License Number | 75570 |
| License Number State | NE |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 3017147 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: