person
Mrs. Tamara L Riess, NP
Adult Health Nurse Practitioner in Granger, Indiana
NPI 1144281130

Tamara L Riess is an Adult Health Nurse Practitioner based in South Bend, IN and is specialized in Adult Health. Tamara L Riess practices in Granger, IN and has the professional credentials of NP. The NPI Number for Tamara L Riess is 1144281130 and holds a License No. 71006906A (Indiana).

The current practice location address for Tamara L Riess is 6913 N Main St, Granger, IN and can be reached out via phone at 574-647-1550 and via fax at 574-243-4306.

Location: 6913 N Main St, Granger, IN, 46617-1924
person
Provider Profile Details
NPI Number
1144281130
Provider Name
Tamara L Riess
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
6913 N Main St, Granger, IN, 46617-1924
Phone Number
574-647-1550
Fax Number
574-243-4306
Provider Enumeration Date
03/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MI7204009 01 IN MEDICARE PTAN
169380073 01 IN MEDICARE PTAN
236040211 01 IN MEDICARE PTAN
167490001 01 IN MEDICARE PTAN
300001317 05 IN
institution
Provider Business Practice Location Address Details
Address
6913 N Main St
City
State
Zip
46530
Phone Number
574-647-1550
Fax Number
574-243-4306
person
Provider Business Mailing Address Details
Address
6913 N Main St
City
State
Zip
46530
Phone Number
574-647-1550
Fax Number
574-243-4306
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
71006906A (Indiana)
Definition
Definition to come...
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