Individual
MRS. TAMARA DENISE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
1443 ROADRUNNER DR, CORONA, CA 92881-0710
(708) 257-9539
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95004293
CA
363LA2100X
Acute Care Nurse Practitioner
AP129321
TX
Other
Enumeration date
04/28/2016
Last updated
06/18/2025
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