# TAMARA WHITE GERIATRIC CONSULTING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780273094
- **Authorized official:** TAMARA WHITE CNP (OWNER)
- **Authorized official phone:** (513) 608-4411

## Contact information

- **Practice address:** 1 SWALLOW FLD, TERRACE PARK, OH 45174-1029
- **Practice address phone:** (513) 608-4411
- **Mailing address:** 1 SWALLOW FLD, TERRACE PARK, OH 45174-1029
- **Mailing address phone:** (513) 608-4411
- **Mailing address fax:** (513) 831-1163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2021
- **Last updated:** 01/12/2021