Healthcare Provider Details

I. General information

NPI: 1225819485
Provider Name (Legal Business Name): TAMARA LYNN WARD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 E HOFFMAN AVE
SPOKANE WA
99207-3233
US

IV. Provider business mailing address

1000 N ARGONNE RD
SPOKANE VALLEY WA
99212-2600
US

V. Phone/Fax

Practice location:
  • Phone: 215-805-2281
  • Fax:
Mailing address:
  • Phone: 509-534-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number6132469
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: