National Provider Identifier
Tamara Massengale, NURSE PRACTITIONER
Tamara Massengale, NURSE PRACTITIONER is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 273-5500.
Profile Overview
- NPI
- 1841953593
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- October 20, 2021
- Last Updated
- January 07, 2026
Practice Location
- 334 W State St
- Ithaca, NY 14850-5432
Phone: (607) 273-5500
Mailing Address
- 169 Riverside Dr
- Binghamton, NY 13905-4246
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
- Family Nurse Practitioner (363LF0000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1841953593
- Entity Type
- Individual
- Last Name
- Massengale
- First Name
- Tamara
- Credential
- NURSE PRACTITIONER
- Mailing Street Address
- 169 Riverside Dr
- Mailing City
- Binghamton
- Mailing State
- NY
- Mailing ZIP Code
- 13905-4246
- Mailing Country
- US
- Practice Street Address
- 334 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5432
- Practice Country
- US
- Practice Phone
- (607) 273-5500
- Enumeration Date
- October 20, 2021
- Last Updated
- January 07, 2026
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 07, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X), Family Nurse Practitioner (363LF0000X), Student in an Organized Health Care Education/Training Program (390200000X)