Tamera Renea Putman
Individual provider Active NPI Nurse's Aide · Ravia, OK
NPI 1982986147 · NPPES record last updated Sep 14, 2011
Key facts
- NPI
- 1982986147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 37H013851108 (OK)
- Practice address
- 405 W a Ave
Ravia, OK 73455-0015 - Phone
- (580) 369-1561
- NPI assigned
- Sep 14, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37H013851108 | OK | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 37H013851108 | OK | Yes |
Addresses
Primary practice location
405 W a Ave
Ravia, OK 73455-0015
Mailing address
PO Box 15
Ravia, OK 73455-0015
Phone (580) 369-1561
Other providers in Ravia, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.