Tamera Lyn Mahaffey is a Family in Walker, Minnesota. Tamera Lyn Mahaffey practices all healthcare services and medical treatments related to Family. The NPI Number for Tamera Lyn Mahaffey is 1518098789. The last update date is 2015-09-02.
Tamera Lyn Mahaffey's current location address is 614 Michigan Ave W, Walker, Minnesota. You can contact this provider via phone number 2185477700. The mailing address for Tamera Lyn Mahaffey is 614 Michigan Ave W, Walker, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamera Lyn Mahaffey |
|---|---|
| Address | 614 Michigan Ave W, Walker, Minnesota |
| Phone Number | 2185477700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1518098789 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2015-09-02 |
Provider Mailing Address Detail
| Address | 614 Michigan Ave W |
|---|---|
| City | Walker |
| State | Minnesota (MN) |
| Post Code | 564842276 |
| Phone Number | 2185477700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R079624-6 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 374R6MA | MN | BCBS | |
| 988102600 | MN | -- |
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What is the unique 10-digit identification code issued to Tamera Lyn Mahaffey by the Centers for Medicare & Medicaid Services?
The Tamera Lyn Mahaffey has been assigned the NPI (National Provider Identifier) 1518098789 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Tamera Lyn Mahaffey?
The Tamera Lyn Mahaffey is physically situated at 614 Michigan Ave W, in the city of Walker, state of MN, with the postal code 564842276.
What is the area of specialization for Tamera Lyn Mahaffey, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tamera Lyn Mahaffey is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518098789 to Tamera Lyn Mahaffey?
The Centers for Medicare & Medicaid Services assigned the 1518098789 to Tamera Lyn Mahaffey on 2007-03-08.
As of what date was the information regarding Tamera Lyn Mahaffey, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tamera Lyn Mahaffey, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-09-02.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC