Individual
TAMARA D WHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SRNA
Contact information
Practice address
2222 PHILADELPHIA DR, DAYTON, OH 45406-1813
(937) 734-2612
(937) 567-4163
Mailing address
PO BOX 640446, CINCINNATI, OH 45264-0446
(717) 263-5562
(717) 263-1566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN336508
OH
390200000X
Student in an Organized Health Care Education/Training Program
RN336508
OH
Other
Enumeration date
04/26/2013
Last updated
05/23/2013
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