Provider Demographics
NPI:1003325150
Name:POSTLETHWAIT, TAMARA RENA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:RENA
Last Name:POSTLETHWAIT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 ANN ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-2504
Mailing Address - Country:US
Mailing Address - Phone:304-424-4249
Mailing Address - Fax:304-420-5703
Practice Address - Street 1:805 FARSON ST STE 113
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-1000
Practice Address - Country:US
Practice Address - Phone:740-568-2214
Practice Address - Fax:740-568-2099
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN-64878FNP-BC363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily