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NPI Code Detail

MEDICARE: MS. TAMMARA L KNIGHT RN

MEDICARE:  MS. TAMMARA L KNIGHT  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
1163W00000XRegistered NurseRN178480AZ

General Provider Information

NPI Number : 1457985913
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAMMARA L KNIGHT RN
Provider Business Mailing Address
First Line : 2675 PALO VERDE BLVD S
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-4919
Country : US
Telephone Number : 928-854-5351
Fax Number : 928-854-5387
Provider Business Practice Location Address
First Line : 2675 PALO VERDE BLVD S
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-4919
Country : US
Telephone Number : 928-854-5351
Fax Number : 928-854-5387
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2020
Last Update Date : 04/06/2020

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Directions to “ MS. TAMMARA L KNIGHT RN” Practice Location

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