Tamara Heaston, CRNA
Nurse Anesthetist, Certified Registered in Kalamazoo, MI. Individual provider (NPI-1).
NPI number1013000462
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1013000462
- Entity type
- Individual (NPI-1)
- Name
- Tamara Heaston
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2006
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704140469 | MI | Yes |
Other names
- Tamara Riddel (Former Name)
Practice location
900 Peeler St Ste BKalamazoo, MI 49008-2380
Phone 269-345-8618 · Fax 269-345-1508
Mailing address
900 Peeler St Ste BKalamazoo, MI 49008-2380
Phone 269-345-8618 · Fax 269-345-1508
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All 123 Certified Registered Nurse Anesthetist providers in Kalamazoo · All 7,754 providers in Kalamazoo
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