Individual
TAMARA LEIGH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4704 WHITESBURG DR SW, SUITE 201, HUNTSVILLE, AL 35802-1679
(256) 213-1800
(256) 429-9186
Mailing address
4704 WHITESBURG DR SW, SUITE 201, HUNTSVILLE, AL 35802-1679
(256) 213-1800
(256) 429-9186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-101199
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I500479
MEDICARE
AL
05
—
164230
—
AL
05
—
164252
—
AL
05
—
164618
—
AL
01
—
511-53710.
BCBS
AL
01
—
511-53711
BCBS
AL
01
—
511-53712
BCBS
AL
Enumeration date
12/01/2010
Last updated
08/13/2015
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