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TARA NIMTZ

Nurse Practitioner

NPI: 1104437631IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse — Emergency

Code: 163WE0003X

28155899A(IN)

Nurse Practitioner

Code: 363L00000X

71010414A(IN)

CMS Specialties

Education

OTHER

Class of 2020

Contact & Hours

Address
400 TEEGARDEN ST
LA PORTE, IN 46350

Quick Facts

NPI
1104437631
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
6

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