Individual
TAMMERA PRICE-FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
3219 CENTRAL AVE, SUITE 107, KEARNEY, NE 68847-2949
(308) 865-2601
Mailing address
3219 CENTRAL AVE, SUITE 107, KEARNEY, NE 68847-2949
(308) 865-2601
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
110351
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952661654
—
NE
Enumeration date
11/22/2005
Last updated
03/26/2013
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