Individual
TAMARA DAWN NIEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
57 SUMMIT DR, CORBIN, KY 40701-2746
(606) 528-9700
(606) 528-8423
Mailing address
57 SUMMIT DR, CORBIN, KY 40701-2746
(606) 528-9700
(606) 528-8423
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3002218
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78001344
—
KY
Enumeration date
07/06/2005
Last updated
09/08/2016
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