Individual provider · Type 1 NPI
Tamara Alissa Engblade, NP-C
Family Nurse Practitioner · Grand Rapids, MI
NPI number
1093321010
Active
Practice location
275 Michigan St NE
Grand Rapids, MI 49503-2531
Fax (616) 267-7901
Mailing address
100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704264585 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 4704264585 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1093321010
Tamara Alissa Engblade, NP-C's National Provider Identifier is 1093321010, issued on Sep 16, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 2, 2025.