Individual
TAMARA JANE THISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN-C, CEN, AMB-
Contact information
Practice address
400 N MCDOWELL BLVD, PETALUMA, CA 94954-2339
(707) 778-1111
Mailing address
122 BROOKTRAIL CT, SANTA ROSA, CA 95409-2763
(707) 778-1111
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
725175
CA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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