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Individual
TAMRA LYNN ANDERSON
Active
Individual
TAMRA LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
686940
TX
363LF0000X
Family Nurse Practitioner
Primary
AP131822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365274501
—
TX
05
—
365274502
—
TX
01
—
75-2616977-041
TRICARE
TX
01
—
778154
MEDICARE
TX
01
—
8333NZ
BCBS
TX
01
—
P01731693
RAIL ROAD MEDICARE
TX
01
—
P02210535
MEDICARE RAIL ROAD
TX
Enumeration date
05/20/2016
Last updated
05/21/2019
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