Tamara A Johnson in St Louis Park - Physician Assistant
Tamara A Johnson - NPI 1023206935
Tamara A Johnson is a Physician Assistant in St Louis Park, Minnesota. Tamara A Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tamara A Johnson is 1023206935. The last update date is 2007-10-05.
Tamara A Johnson's current location address is 6490 Excelsior Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529933180. The mailing address for Tamara A Johnson is 6490 Excelsior Blvd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara A Johnson |
|---|---|
| Address | 6490 Excelsior Blvd, St Louis Park, Minnesota |
| Phone Number | 9529933180 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1023206935 |
|---|---|
| Provider Enumeration Date | 2007-10-05 |
| Last Updated Date | 2007-10-05 |
Provider Mailing Address Detail
| Address | 6490 Excelsior Blvd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554264705 |
| Phone Number | 9529933180 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1045 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Tamara A Johnson by the Centers for Medicare & Medicaid Services?
The Tamara A Johnson has been assigned the NPI (National Provider Identifier) 1023206935 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Tamara A Johnson is located?
The Tamara A Johnson is situated at the following address: 6490 Excelsior Blvd, St Louis Park, MN, 554264705.
What is the Tamara A Johnson's specialty and taxonomy code?
The Tamara A Johnson's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023206935 to Tamara A Johnson?
The Tamara A Johnson received its 1023206935 assignment from the Centers for Medicare & Medicaid Services on 2007-10-05.
When was the information pertaining to Tamara A Johnson most recently updated or revised?
The details related to Tamara A Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-05.