Individual
TAMARA L NELSON
Active
Individual
TAMARA L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38417
IA
207R00000X
Internal Medicine Physician
R7797
IA
207RR0500X
Rheumatology Physician
Primary
01074295A
IN
207RR0500X
Rheumatology Physician
38417
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201249860
—
IN
Enumeration date
05/23/2007
Last updated
01/06/2021
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