Tara Lee Nimtz
Tara Lee Nimtz is a Nurse Practitioner in LA Porte, Indiana. Qualified in 2020, 6 years ago. Practices with Healthlinc Inc, a 88-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 6
- Licensed in
- IN
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
400 Teegarden StLA Porte, IN 46350-3175
Phone: (219) 326-0043
Fax: (219) 326-8909
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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 71010414A (IN) |
|---|---|
| Emergency Registered Nurse | Taxonomy 163WE0003X · Licence 28155899A (IN) |
Record details
| NPI number | 1104437631 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 10, 2020 |
| Last updated in NPPES | February 12, 2024 |
| Certification date | February 12, 2024 |
| Mailing address | 400 Teegarden St, La Porte, IN 46350-3175 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Healthlinc Inc — 88 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |