Allen, Tamara L

Allen, Tamara L is an individual health care provider with primary practice located at 714 N Senate Ave , Indianapolis IN 46202-3763. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Allen, Tamara L can be contacted via phone (317) 963-2000.

Contact Information

Primary practice address
714 N Senate Ave Indianapolis IN 46202-3763
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71011022A Indiana

Profile Details

NPI number 1427637347
LBN Legal business name Allen, Tamara L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2021
Last updated Feb 26th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427637347 NPPES
Indiana Other 264430B35 MEDICARE PTAN
Indiana MEDICAID 300049203 MEDICARE PTAN

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