Provider Demographics
NPI:1124499322
Name:SLICER, TAMARA (FNP)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:SLICER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:TAMARA
Other - Middle Name:
Other - Last Name:MESSBARGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:618 PLEASANTVILLE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3325
Mailing Address - Country:US
Mailing Address - Phone:614-886-2194
Mailing Address - Fax:
Practice Address - Street 1:618 PLEASANTVILLE RD
Practice Address - Street 2:STE 101
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3325
Practice Address - Country:US
Practice Address - Phone:740-653-7511
Practice Address - Fax:740-653-7512
Is Sole Proprietor?:No
Enumeration Date:2015-10-13
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 18028 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily