Individual
TAMARA K CANTERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2537 EISENHOWER RD, OTTAWA, KS 66067-9482
(785) 242-3780
(785) 242-6397
Mailing address
PO BOX 677, OTTAWA, KS 66067-0677
(785) 242-3780
(785) 242-6397
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN 53-74343-091
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200439780A
—
KS
05
—
200439780E
—
KS
Enumeration date
01/17/2007
Last updated
08/11/2016
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