Mrs. Tamara Mangan Ghormley
Nurse Practitioner Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
1500 E Medical Center Dr B1 Floor Cancer Ctr Recp C
Ann Arbor
, Michigan 48109-0916
Mrs. Tamara Mangan Ghormley
Nurse Practitioner Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
1500 E Medical Center Dr B1 Floor Cancer Ctr Recp C
Ann Arbor
, Michigan 48109-0916
(734) 936-2047
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Community Health
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Tamara Mangan Ghormley
- 3621 S State St 700 Kms Place
- Ann Arbor, MI
- Zip : 48108
- Phone : (734) 936-2047
Second Address
- Mrs. Tamara Mangan Ghormley
- 1500 E Medical Center Dr B1 Floor Cancer Ctr Recp C
- Ann Arbor, MI
- Zip : 48109-0916
- Phone : (734) 936-6000
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FAQs
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Is Mrs. Tamara Mangan Ghormley a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4704157118 | MI |
| N | 363LC1500X | Nurse Practitioner - Community Health | 4704157118 | MI |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 4704157118 | MI |
National Provider Identifier
| NPI | 1851353932 |
|---|---|
| Provider Name | Mrs. Tamara Mangan Ghormley |
| First Address | Ann Arbor, MI 48108 |
| Second Address | Ann Arbor, MI 48109-0916 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/04/2006 |
| Last Update Date | 01/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S63898 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.