MEDICARE: DR. TAMARA ANNE ORR PHD, MS, RN, PMHNP

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	103TC0700X	Clinical Psychologist	0810003692	VA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024172148	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	267692	OTHER	VA	BLUE CROSS

General Provider Information

NPI Number	:	1891853529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMARA ANNE ORR PHD, MS, RN, PMHNP

Provider Business Mailing Address
First Line	:	9509 CHATTERLEIGH DR
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23238-4430
Country	:	US
Telephone Number	:	804-651-0676
Fax Number	:

Provider Business Practice Location Address
First Line	:	9509 CHATTERLEIGH DR
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23238-4430
Country	:	US
Telephone Number	:	804-651-0676
Fax Number	:

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	08/31/2021

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