Provider Demographics
NPI:1346201555
Name:BROWNELL, TAMARA A (CRNA,MS)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:A
Last Name:BROWNELL
Suffix:
Gender:F
Credentials:CRNA,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 SANDY BEACH RD
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:IA
Mailing Address - Zip Code:50525-7724
Mailing Address - Country:US
Mailing Address - Phone:515-535-2485
Mailing Address - Fax:
Practice Address - Street 1:2000 SANDY BEACH RD
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:IA
Practice Address - Zip Code:50525-7724
Practice Address - Country:US
Practice Address - Phone:515-535-2485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAD-087261367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered