Tamika Boulware Phyfer in Henderson - Physician Assistant
Tamika Boulware Phyfer - NPI 1750505095
Tamika Boulware Phyfer is a Physician Assistant in Henderson, Nevada. Tamika Boulware Phyfer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tamika Boulware Phyfer is 1750505095. The last update date is 2022-10-19.
Tamika Boulware Phyfer's current location address is 595 W Lake Mead Pkwy, Henderson, Nevada. You can contact this provider via phone number 7025665500 and fax number 7025587238. The mailing address for Tamika Boulware Phyfer is 595 W Lake Mead Pkwy, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tamika Boulware Phyfer |
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Address | 595 W Lake Mead Pkwy, Henderson, Nevada |
Phone Number | 7025665500 |
Fax Number | 7025587238 |
Sole Proprietor | Y |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1750505095 |
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Provider Enumeration Date | 2007-04-11 |
Last Updated Date | 2022-10-19 |
Provider Mailing Address Detail
Address | 595 W Lake Mead Pkwy |
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City | Henderson |
State | Nevada (NV) |
Post Code | 890157015 |
Phone Number | 7025665500 |
Fax Number | 7025587238 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 585 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1750505095 | NV | -- | |
585 | NV | STATE LICENCE |
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What is the unique 10-digit identification code issued to Tamika Boulware Phyfer by the Centers for Medicare & Medicaid Services?
The Tamika Boulware Phyfer has been assigned the NPI (National Provider Identifier) 1750505095 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Tamika Boulware Phyfer is geographically located?
The Tamika Boulware Phyfer is physically situated at the following location: 595 W Lake Mead Pkwy, Henderson, NV, 890157015.
What is Tamika Boulware Phyfer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tamika Boulware Phyfer's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750505095 to Tamika Boulware Phyfer?
The Centers for Medicare & Medicaid Services assigned the 1750505095 to Tamika Boulware Phyfer on 2007-04-11.
When was the information regarding Tamika Boulware Phyfer most recently updated?
The details pertaining to the Tamika Boulware Phyfer, including its address, specialty, and other relevant information, were last refreshed on 2022-10-19.
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