MEDICARE: TAMARA ARBOLEDA NP

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
1	363LF0000X	Family Nurse Practitioner	AP145139	TX
2	363L00000X	Nurse Practitioner	AP145139	TX

General Provider Information

NPI Number	:	1750915112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA ARBOLEDA NP

Provider Business Mailing Address
First Line	:	PO BOX 749495
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9495
Country	:	US
Telephone Number	:	855-963-2100
Fax Number	:	813-321-1296

Provider Business Practice Location Address
First Line	:	1631 NORTH LOOP W STE 410
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1530
Country	:	US
Telephone Number	:	713-802-9000
Fax Number	:	713-802-2701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2020
Last Update Date	:	12/08/2025

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Directions to “ TAMARA ARBOLEDA NP” Practice Location

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