Most Relevant Information
Provider Data
| NPI Number: | 1003330440 |
| Provider Name: | TAMARA CARPENTER FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95007032 |
Most Important Dates
| Enumeration Date: | 07/27/2017 |
| Last Updated: | 01/27/2021 |
Provider Practice Location
2823 FRESNO ST
FRESNO
CA
937211324
Practice Location Phone/Fax
| Phone: | 5594996440 |
| Fax: |
Provider Mailing Location
2625 E DIVISADERO ST
FRESNO
CA
937211431
Provider Mailing Phone/Fax
| Phone: | 5594432682 |
| Fax: | 5594432681 |