Provider Demographics
NPI:1548859374
Name:HALBERSMA, TAMARA (ARNP, PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:
Last Name:HALBERSMA
Suffix:
Gender:F
Credentials:ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4725 MERLE HAY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50322-1983
Mailing Address - Country:US
Mailing Address - Phone:515-461-8889
Mailing Address - Fax:515-209-3339
Practice Address - Street 1:4725 MERLE HAY RD STE 203
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50322-1983
Practice Address - Country:US
Practice Address - Phone:515-461-8889
Practice Address - Fax:515-209-3339
Is Sole Proprietor?:No
Enumeration Date:2021-01-15
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG161953363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health