Provider Demographics
NPI:1407617707
Name:VOGT, TAMARIE LEE (RN)
Entity Type:Individual
Prefix:
First Name:TAMARIE
Middle Name:LEE
Last Name:VOGT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 W. PRAIRIE ST.
Mailing Address - Street 2:
Mailing Address - City:OSMOND
Mailing Address - State:NE
Mailing Address - Zip Code:68765
Mailing Address - Country:US
Mailing Address - Phone:402-748-3362
Mailing Address - Fax:402-748-3210
Practice Address - Street 1:202 W. PRAIRIE ST.
Practice Address - Street 2:
Practice Address - City:OSMOND
Practice Address - State:NE
Practice Address - Zip Code:68765
Practice Address - Country:US
Practice Address - Phone:402-748-3362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE90905163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool