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TAMARA LYNN BLACK ARNP

Individual Provider (NPI-1) Active

Nurse Practitioner

Provider Information

NPI Number
1508896143
Provider Type
Individual Provider (NPI-1)
Credentials
ARNP
Status
Active

Contact & Location

Address
420 W 15TH AVE, EMPORIA, KS, 668015367
Phone
(620) 342-4864
Fax
(620) 343-3545

Specialties & Taxonomies

Nurse Practitioner Primary License: KS #45728

All Addresses

LOCATION

420 W 15TH AVE

EMPORIA, KS, 668015367

(620) 342-4864

MAILING

420 W 15TH AVE

EMPORIA, KS, 668015367

(620) 342-4864