MS. TAMARA LEE MIELOCK NP-C NPI 1952667636

NPI Information

NPI: 1952667636
Provider Name: MS. TAMARA LEE MIELOCK, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1481 WEST 10TH STREET
RICHARD L. ROUDEBUSH VA MEDICAL CENTER
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 988-2387
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MS. Tamara Lee Mielock, NP-C is a family nurse practitioner in Indianapolis, IN. MS. Tamara Lee Mielock, NP-C NPI is 1952667636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1481 WEST 10TH STREET
RICHARD L. ROUDEBUSH VA MEDICAL CENTER
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 988-2387
Fax: (317) 988-2130

The enumeration date for this NPI number is 4/6/2012 and was last updated on 4/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704286137	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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