Provider Demographics
NPI:1962443648
Name:WINDSCHEFFEL, TAMARA J (ARNP)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:J
Last Name:WINDSCHEFFEL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 E PARLIAMENT ST
Mailing Address - Street 2:
Mailing Address - City:SMITH CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:66967-3015
Mailing Address - Country:US
Mailing Address - Phone:785-282-6834
Mailing Address - Fax:785-282-3793
Practice Address - Street 1:119 E PARLIAMENT ST
Practice Address - Street 2:
Practice Address - City:SMITH CENTER
Practice Address - State:KS
Practice Address - Zip Code:66967-3015
Practice Address - Country:US
Practice Address - Phone:785-282-6834
Practice Address - Fax:785-282-3793
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44502363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS10973OtherBLUE CROSS/BLUE SHIELD
KS100413410BMedicaid
Q48478Medicare UPIN