Tara Lee Nimtz

NPI #1104437631 in La Porte, Indiana

Provider Information

NPI Number
1104437631
Entity Type
Individual
Name
Tara Lee Nimtz
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Aug 10, 2020
Last Updated
Feb 12, 2024

Practice Location

Address
400 TEEGARDEN ST
State
Indiana
ZIP Code
46350-3175
Phone
(219) 326-0043

Specialties & Taxonomy Codes

Specialty
Registered Nurse - EmergencyEmergency
Nurse Practitioner

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