Provider Demographics
NPI:1851607881
Name:STENSON, TAMARA MICHELLE
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:MICHELLE
Last Name:STENSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 738
Mailing Address - Street 2:
Mailing Address - City:GUERNSEY
Mailing Address - State:WY
Mailing Address - Zip Code:82214-0738
Mailing Address - Country:US
Mailing Address - Phone:307-534-6621
Mailing Address - Fax:
Practice Address - Street 1:245 NORTH KANSAS AVE.
Practice Address - Street 2:
Practice Address - City:GUERNSEY
Practice Address - State:WY
Practice Address - Zip Code:82214
Practice Address - Country:US
Practice Address - Phone:307-534-6621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator