Provider Demographics
NPI:1295201598
Name:TAMBE, EMILIE N (LVN)
Entity Type:Individual
Prefix:
First Name:EMILIE
Middle Name:N
Last Name:TAMBE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 CRESCENT PLAZA DR APT 1104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5595
Mailing Address - Country:US
Mailing Address - Phone:713-314-0327
Mailing Address - Fax:
Practice Address - Street 1:1755 CRESCENT PLAZA DR APT 1104
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5595
Practice Address - Country:US
Practice Address - Phone:713-314-0327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211916164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse