| Tara Michele Nelson, PA | |
|
331 Sijen Ave, Whiteman Air Force Base, MO 65305-1269 | |
| (660) 687-2188 | |
| (660) 687-2106 |
| Full Name | Tara Michele Nelson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 331 Sijen Ave, Whiteman Air Force Base, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528052750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15-00527 (Kansas) | Secondary |
| 363A00000X | Physician Assistant | PYA113653 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Michele Nelson, PA 331 Sijen Ave, Whiteman Afb, MO 65305-1269 Ph: (660) 687-2188 | Tara Michele Nelson, PA 331 Sijen Ave, Whiteman Air Force Base, MO 65305-1269 Ph: (660) 687-2188 |
Shelby Lynn Smiley, DMSC, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 331 Sijen Ave, Whiteman Air Force Base, MO 65305 Phone: 316-660-2188 | |
Shawn Hamilton Miranda, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 331 Sijen Ave, Whiteman Air Force Base, MO 65305 Phone: 660-687-7187 | |
Kathareeya Medeiros, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 702 Titan Loop, Whiteman Air Force Base, MO 65305 Phone: 603-933-0483 | |
Kyle B Bland, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 331 Sijen Ave, Whiteman Air Force Base, MO 65305 Phone: 660-687-2188 |