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NPI Code Detail

MEDICARE: TAMARA MARIE WHITE RN

MEDICARE: TAMARA MARIE WHITE 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 Nurse119813LA

General Provider Information

NPI Number : 1780337402
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA MARIE WHITE RN
Provider Business Mailing Address
First Line : 4480 GENERAL DEGAULLE DR STE 110
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70131-6319
Country : US
Telephone Number : 504-669-2904
Fax Number :
Provider Business Practice Location Address
First Line : 4480 GENERAL DEGAULLE DR STE 110
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70131-6319
Country : US
Telephone Number : 504-669-2904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2022
Last Update Date : 05/08/2025

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