Doctor Name: | TAMARA D WHITT |
NPI Number: | 1063856540 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SRNA |
License Number: | RN336508 |
Business Practice Address: | 2222 Philadelphia Dr Dayton, OH - 454061813 |
Business Phone Number: | 9377342612 |
Business Fax Number: | 9375674163 |
Mailing Address: | Po Box 640446, CINCINNATI |
State: | OH |
Postal Code: | 452640446 |
Phone Number: | 7172635562 |
Fax Number: | 7172631566 |
NPI Enumeration Date: | 04/26/2013 |
NPI Last Update Date: | 05/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | RN336508 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |