Provider Demographics
NPI:1023807203
Name:DELVEAUX, TAMARA ANN (FNTP, INHC)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:ANN
Last Name:DELVEAUX
Suffix:
Gender:F
Credentials:FNTP, INHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14276 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-7156
Mailing Address - Country:US
Mailing Address - Phone:262-388-3209
Mailing Address - Fax:
Practice Address - Street 1:3119 GOLF RD # 117
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-7006
Practice Address - Country:US
Practice Address - Phone:262-388-3209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach