TAMARA D GORMAN

TERRE HAUTE, IN
NPI1154953099
Former NameTAMARA D METTLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209027013)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28249915A)
363L00000X Nurse Practitioner
(Licence: IN  71009794A)
Enumeration Date2020-02-09
Last Update Date2024-12-26
Business Address
TAMARA D GORMAN
3560 S 4TH ST
TERRE HAUTE, IN 47802-5540
Phone number: 812-235-8496
Mailing Address
TAMARA D GORMAN
3560 S 4TH ST
TERRE HAUTE, IN 47802-5540
Phone number: 812-235-8496