Individual
TAMARA D WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
911 BYPASS RD, PIKEVILLE, KY 41501-1689
(606) 218-3500
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 218-3500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3004442
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74009051
—
KY
Enumeration date
07/20/2005
Last updated
07/11/2016
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