Individual
MS. TAMARA SUZANNE DE VERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
21 CORPORATE WOODS, 10870 BENSON DRIVE #2160, OVERLAND PARK, KS 66210
(833) 357-3227
Mailing address
2153 S STAGECOACH DR, OLATHE, KS 66062-6702
(816) 588-2045
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-77413-011
KS
Other
Enumeration date
10/02/2016
Last updated
11/26/2019
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