Individual
MS. TAMARA L. MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3500 S 4TH ST, LEAVENWORTH, KS 66048-5043
(913) 680-6000
Mailing address
1000 CARONDELET DR, PROVIDER ENROLLMENT, KANSAS CITY, MO 64114
(816) 943-5744
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
133516
MO
363LG0600X
Gerontology Nurse Practitioner
2012041460
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2013028356
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
45991
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200556570A
—
KS
05
—
427380209
—
MO
01
—
P00334972
RR MEDICARE
MO
Enumeration date
06/24/2006
Last updated
09/10/2021
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