Provider Demographics
NPI:1447850516
Name:VOOK, TAMARA MARIE
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:MARIE
Last Name:VOOK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 69TH ST NW
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-8809
Mailing Address - Country:US
Mailing Address - Phone:701-818-8386
Mailing Address - Fax:
Practice Address - Street 1:1500 69TH ST NW
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-8809
Practice Address - Country:US
Practice Address - Phone:701-818-8386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant