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Individual

TAMARA J TRAINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, WHNP

Contact information

Practice address
1525 FAIRFIELD ROOM 551, DHH-OFFICE OF PUBLIC HEALTH, SHREVEPORT, LA 71101
(318) 676-7470
Mailing address
1525 FAIRFIELD ROOM 551, DHH-OFFICE OF PUBLIC HEALTH, SHREVEPORT, LA 71101
(318) 676-7470

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APO4946
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1507105
LA
Enumeration date
10/02/2006
Last updated
11/24/2014
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