Provider Demographics
NPI:1700930476
Name:NATION, TAMERA L (ARNP, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:TAMERA
Middle Name:L
Last Name:NATION
Suffix:
Gender:F
Credentials:ARNP, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12330 METCALF AVE
Mailing Address - Street 2:STE. 420
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-1324
Mailing Address - Country:US
Mailing Address - Phone:913-323-9000
Mailing Address - Fax:913-323-9001
Practice Address - Street 1:12330 METCALF AVE
Practice Address - Street 2:STE. 420
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-1324
Practice Address - Country:US
Practice Address - Phone:913-323-9000
Practice Address - Fax:913-323-9001
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45997363LX0001X
MO2010031879363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201107400AMedicaid
G93000030Medicare PIN