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Individual

TAMAR R IBANEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-5939
(913) 588-1227
Mailing address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-9600

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2019041346
MO
363LA2200X
Adult Health Nurse Practitioner
2019041346
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
53-79205
KS

Other

Enumeration date
10/25/2019
Last updated
07/21/2025
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