Individual
MS. TANIA OBREMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2577 W 5TH ST, GREENVILLE, NC 27834-7813
(252) 830-3426
(252) 830-8585
Mailing address
2577 W. 5TH ST., WALTER B. JONES ALCOHOL AND DRUG ABUSE TREATMENT CENTER, GREENVILLE, NC 27834
(252) 830-3426
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
09-00117
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
09-00117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500002093
RAILROAD MEDICARE
NC
05
—
7000223
—
NC
Enumeration date
02/02/2006
Last updated
03/23/2012
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