Individual provider · Type 1 NPI

Tara Lee Nimtz

Nurse Practitioner · La Porte, IN

NPI number 1104437631 Active

Practice location

400 Teegarden St
La Porte, IN 46350-3175

Call (219) 326-0043 Map

Fax (219) 326-8909

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse 163WE0003X28155899A (IN)
Nurse Practitioner Primary 363L00000X71010414A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104437631

Tara Lee Nimtz's National Provider Identifier is 1104437631, issued on Aug 10, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in La Porte, IN. The record was last updated on Feb 12, 2024.