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Individual
MRS. TAMARA FELICE SMALL
Active
Individual
MRS. TAMARA FELICE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA.14970-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.14970
OH
363LF0000X
Family Nurse Practitioner
RN305103
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000839193
BCBS-OH
OH
Enumeration date
07/23/2013
Last updated
10/30/2025
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