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TAMMANA J PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-NP

Contact information

Practice address
1022 WOODBURY AVE, COUNCIL BLUFFS, IA 51503-7915
(712) 352-0405
(712) 352-0356
Mailing address
PO BOX 24607, OMAHA, NE 68124-0607
(402) 955-5400
(402) 955-3674

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
114321
NE
363LP0200X
Pediatric Nurse Practitioner
Primary
C171037
IA

Other

Enumeration date
10/10/2022
Last updated
10/10/2022
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