Provider Demographics
NPI:1265626162
Name:WEEMS, TAMRA LYNNE
Entity type:Individual
Prefix:MRS
First Name:TAMRA
Middle Name:LYNNE
Last Name:WEEMS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JONI
Other - Middle Name:
Other - Last Name:BEARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9254 WOODCREST LN
Mailing Address - Street 2:
Mailing Address - City:OZAWKIE
Mailing Address - State:KS
Mailing Address - Zip Code:66070-5142
Mailing Address - Country:US
Mailing Address - Phone:785-876-9838
Mailing Address - Fax:785-876-9838
Practice Address - Street 1:9254 WOODCREST LN
Practice Address - Street 2:
Practice Address - City:OZAWKIE
Practice Address - State:KS
Practice Address - Zip Code:66070-5142
Practice Address - Country:US
Practice Address - Phone:785-876-9838
Practice Address - Fax:785-876-9838
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator