Individual
CODY JAMES TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.N
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 353-2714
Mailing address
5890 STARRY LN, NAMPA, ID 83686-9630
(208) 353-2714
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
64484
ID
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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