Individual
TAMARA SUSAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 1ST STREET, EMMETSBURG, IA 50536
(712) 852-5500
Mailing address
3605 450TH AVE, EMMETSBURG, IA 50536
(712) 298-2287
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
H174672
IA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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