DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA LEE NIMTZ

Active

TARA LEE NIMTZ is a Nurse Practitioner healthcare provider located in LA PORTE, Indiana. NPI 1104437631 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · LA PORTE, IN

Registration Details

NPI Number
1104437631
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2020 (5.9949546343867 yrs)
Last Updated
Feb 12, 2024
Licenses
28155899A (IN)
71010414A (IN)

Practice Information

Address
400 TEEGARDEN ST
LA PORTE, IN, 463503175
Browse IN providers · Browse ZIP 46350
Phone
2193260043
Fax
2193268909
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in LA PORTE, IN

Name Credential NPI
ANJANETTE ZIELINSKI N.P. 1689690521
WENDY RENEE DUTCHER RN 1194077644
TRACY ELIZABETH BLANTON NP 1508290289
KELLY MOLENDA 1548634926
JESSICA LYNNE FIEHLER NP 1598309940
MR. MITCHELL STEVEN MOLENDA NP 1245864057
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.