Tara Michele Nelson, PA | |
331 Sijen Ave, Whiteman Air Force Base, MO 65305-1269 | |
(660) 687-2188 | |
(660) 687-2106 |
Full Name | Tara Michele Nelson |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 331 Sijen Ave, Whiteman Air Force Base, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528052750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 15-00527 (Kansas) | Secondary |
363A00000X | Physician Assistant | PYA113653 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tara Michele Nelson, PA 331 Sijen Ave, Whiteman Afb, MO 65305-1269 Ph: (660) 687-2188 | Tara Michele Nelson, PA 331 Sijen Ave, Whiteman Air Force Base, MO 65305-1269 Ph: (660) 687-2188 |
Kathareeya Medeiros, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 702 Titan Loop, Whiteman Air Force Base, MO 65305 Phone: 603-933-0483 | |
Kyle B Bland, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 331 Sijen Ave, Whiteman Air Force Base, MO 65305 Phone: 660-687-2188 |