Individual
TAMARA LYNN AMBURGEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
502 N INDIANA AVE, LA FOLLETTE, TN 37766-2444
(865) 274-6767
Mailing address
502 N INDIANA AVE, LA FOLLETTE, TN 37766-2444
(865) 274-6767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
143586
TN
Other
Enumeration date
04/08/2024
Last updated
04/10/2024
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