Nimtz, Tara Lee

Nimtz, Tara Lee is an individual health care provider with primary practice located at 400 Teegarden St , La Porte IN 46350-3175. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Nimtz, Tara Lee can be contacted via phone (219) 326-0043.

Contact Information

Primary practice address
400 Teegarden St La Porte IN 46350-3175
Phone: (219) 326-0043
Fax: (219) 326-8909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 28155899A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71010414A Indiana

Profile Details

NPI number 1104437631
LBN Legal business name Nimtz, Tara Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2020
Last updated Feb 12th, 2024 - about 10 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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