Individual
TAMARA TAYLOR
Active
Individual
TAMARA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA16004
TX
363AM0700X
Medical Physician Assistant
0010-16587
NC
363AM0700X
Medical Physician Assistant
Primary
PA2014-0063
NM
363L00000X
Nurse Practitioner
10000435A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000528327
ANTHEM
IN
Enumeration date
10/04/2006
Last updated
08/18/2026
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