Individual
TAMARA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5940 MERCHANT DR, FLORENCE, KY 41042-1158
(513) 672-4128
(513) 672-4479
Mailing address
200 NORTHLAND BLVD FL 1, CINCINNATI, OH 45246-3604
(513) 672-4128
(513) 672-4479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1080720
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2182169
—
OH
05
—
78003365
—
KY
Enumeration date
02/09/2007
Last updated
07/08/2007
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