Individual
TAMARA BIRELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 243-7590
Mailing address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 243-7590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A093520
IA
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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