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NPI Code Detail

MEDICARE: MS. TAMARA ANN GUCKERT R.N., B.S.N.

MEDICARE: MS. TAMARA ANN GUCKERT R.N., B.S.N.
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 NurseRN-138112OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851346712
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAMARA ANN GUCKERT R.N., B.S.N.
Provider Business Mailing Address
First Line : 695 VILLAGE DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-2847
Country : US
Telephone Number : 614-296-8074
Fax Number :
Provider Business Practice Location Address
First Line : 695 VILLAGE DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-2847
Country : US
Telephone Number : 614-296-8074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 07/28/2008

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