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Individual
MRS. TAMARA BROWN
Active
Individual
MRS. TAMARA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006661A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201398700
—
IN
Enumeration date
10/31/2016
Last updated
09/07/2021
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