Most Relevant Information
Provider Data
| NPI Number: | 1003636044 |
| Provider Name: | TAMARA EBBINGHAUS |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 2011002454 |
Most Important Dates
| Enumeration Date: | 10/15/2024 |
| Last Updated: | 10/15/2024 |
Provider Practice Location
628 OAK RIDGE DR
NEOSHO
MO
648502129
Practice Location Phone/Fax
| Phone: | 4173121269 |
| Fax: |
Provider Mailing Location
628 OAK RIDGE DR
NEOSHO
MO
648502129
Provider Mailing Phone/Fax
| Phone: | 4173121269 |
| Fax: |