Individual
TAMARA K TJEPKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5818 HARBOUR VIEW BLVD, SUITE 240, SUFFOLK, VA 23435-3315
(757) 483-6100
(703) 295-9369
Mailing address
P.O. BOX 37090, BALTIMORE, MD 21297-3090
(703) 295-9360
(703) 295-9369
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024164601
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010205654
—
VA
Enumeration date
08/04/2006
Last updated
09/17/2012
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