Tamara Martin
Tamara Martin is a Nurse Practitioner in Archbold, Ohio. Qualified in 2016, 10 years ago. Practices with Midwest Community Health Associates, Inc, a 99-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 10
- Licensed in
- OH
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
121 Westfield Dr Ste 1Archbold, OH 43502-1005
Phone: (419) 445-2015
Fax: (419) 445-8102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence APRN.CNP.019854 (OH) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence APRN.CNP.019854 (OH) |
Record details
| NPI number | 1477000248 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 8, 2016 |
| Last updated in NPPES | October 10, 2022 |
| Certification date | October 10, 2022 |
| Mailing address | 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Midwest Community Health Associates, Inc. — 99 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Archbold
-
Caitlin Roth, CNP
121 Westfield Dr Ste 1, Archbold, OH 43502-1005 · (419) 445-2015