Massengale, Tamara

Massengale, Tamara is an individual health care provider with primary practice located at 334 W State St , Ithaca NY 14850-5432. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Massengale, Tamara can be contacted via phone (607) 273-5500.

Contact Information

Primary practice address
334 W State St Ithaca NY 14850-5432
Phone: (607) 273-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F310599 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1841953593
LBN Legal business name Massengale, Tamara
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2021
Last updated Feb 20th, 2023 - about 2 years 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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