person
Tamara Heglar Gentle, NP
Adult Health Nurse Practitioner in Concord, North Carolina
NPI 1194792093

Tamara Heglar Gentle is an Adult Health Nurse Practitioner based in Charlotte, NC and is specialized in Adult Health. Tamara Heglar Gentle practices in Concord, NC and has the professional credentials of NP. The NPI Number for Tamara Heglar Gentle is 1194792093 and holds a License No. 900457 (North Carolina).

The current practice location address for Tamara Heglar Gentle is 1000 Copperfield Blvd Ne Ste 124, Concord, NC and can be reached out via phone at 704-688-9641 and via fax at 704-960-4817. You can also correspond with Tamara Heglar Gentle through the mailing address at 7004 SMITH CORNERS BLVD STE A, CHARLOTTE, NC - 28269-3827 (mailing address contact number: 704-688-9650).

Location: 1000 Copperfield Blvd Ne Ste 124, Concord, NC, 28269-3827
person
Provider Profile Details
NPI Number
1194792093
Provider Name
Tamara Heglar Gentle
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1000 Copperfield Blvd Ne Ste 124, Concord, NC, 28269-3827
Phone Number
704-688-9641
Fax Number
704-960-4817
Provider Enumeration Date
03/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1194792093 05 NC
NCB984A 01 NC MEDICARE PTAN INDIVIDUAL, EFF 2/23/13
566000156 01 NC OCCUPATIONAL MED TAX ID
institution
Provider Business Practice Location Address Details
Address
1000 Copperfield Blvd Ne Ste 124
City
State
Zip
28025-2454
Phone Number
704-688-9641
Fax Number
704-960-4817
person
Provider Business Mailing Address Details
Address
7004 Smith Corners Blvd Ste A
City
State
Zip
28269-3827
Phone Number
704-688-9650
Fax Number
704-688-9651
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
900457 (North Carolina)
Definition
Definition to come...
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