Doctor Name: | TAMARA J TRAINER |
NPI Number: | 1003900564 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, WHNP |
License Number: | APO4946 |
Business Practice Address: | 1525 Fairfield Room 551 Dhh-office Of Public Health Shreveport, LA - 71101 |
Business Phone Number: | 3186767470 |
Business Fax Number: | |
Mailing Address: | 1525 Fairfield Room 551, Dhh-office Of Public Health SHREVEPORT |
State: | LA |
Postal Code: | 71101 |
Phone Number: | 3186767470 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 11/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | APO4946 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |