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Individual
MS. TAMARA JEAN NISLY
Active
Individual
MS. TAMARA JEAN NISLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETICIAN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
956889
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095604
—
AZ
Enumeration date
06/14/2006
Last updated
07/13/2026
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