Individual
TAMARA KAY LAURITZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
721 S 5TH ST, MANCHESTER, IA 52057-2048
(563) 927-6700
(563) 927-6703
Mailing address
211 1ST AVE NE, OELWEIN, IA 50662-1705
(563) 920-6814
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021230977
IA
Other
Enumeration date
03/25/2022
Last updated
01/28/2024
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