Individual
TARA J WHITMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 398-5880
(402) 398-6716
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110865
NE
363LF0000X
Family Nurse Practitioner
110865
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467652404
—
IA
05
—
47037660432
—
NE
Enumeration date
07/18/2007
Last updated
04/23/2021
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