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Tamara Massengale, NURSEPRACTITIONER
Student in an Organized Health Care Education/Training Program in Ithaca, New York
NPI 1841953593

Tamara Massengale is a Student in an Organized Health Care Education/Training Program based in Binghamton, NY. Tamara Massengale practices in Ithaca, NY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Tamara Massengale is 1841953593 and holds a License No. F310599 (New York).

The current practice location address for Tamara Massengale is 334 W State St, Ithaca, NY and can be reached out via phone at 607-273-5500.

Location: 334 W State St, Ithaca, NY, 13905-4246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841953593
Provider Name
Tamara Massengale
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
334 W State St, Ithaca, NY, 13905-4246
Phone Number
607-273-5500
Fax Number
Provider Enumeration Date
10/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
334 W State St
City
Ithaca
State
New York
Zip
14850-5432
Phone Number
607-273-5500
Fax Number
person
Provider Business Mailing Address Details
Address
334 W State St
City
Ithaca
State
New York
Zip
14850-5432
Phone Number
607-273-5500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
F310599 (New York)
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.
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