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Individual
TAMALYNN O'DANIEL
Active
Individual
TAMALYNN O'DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
3003327
KY
363LA2100X
Acute Care Nurse Practitioner
71001869A
IN
363LF0000X
Family Nurse Practitioner
Primary
3003327
KY
363LF0000X
Family Nurse Practitioner
71001869A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3003327
APRN LICENSURE
KY
Enumeration date
07/29/2005
Last updated
05/24/2022
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