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Individual

TAMARA T MEISEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
712 SAINT JOHN ST, GARDEN CITY, KS 67846-5128
(620) 275-1766
(620) 275-4729
Mailing address
106 W RUSSELL RD, LAKIN, KS 67860-9788
(620) 355-7589
(620) 275-4729

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44686
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060247
BC/BS PROVIDER NUMBER
KS
05
4286710801
KS
Enumeration date
09/19/2005
Last updated
09/15/2010
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