Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tamara Vestal, RN153164

Individual provider Registered Nurse · NPI 1639420789

Mrs. Tamara Vestal, RN153164 is a Registered Nurse in Lake Havasu City, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2012

Practice location Address checks out

101 Civic Center Ln
Lake Havasu City, AZ 86403-5607
Phone: (928) 855-8185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN153164 (AZ)

Record details

NPI number1639420789
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN153164
Sole proprietorYes
NPI enumeratedSeptember 28, 2012
Last updated in NPPESSeptember 28, 2012

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