Avera, Tamara W

Avera, Tamara W is an individual health care provider with primary practice located at 6140 Mae Anne Ave Ste 1B , Reno NV 89523-4707. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Avera, Tamara W can be contacted via phone (775) 787-1144.

Contact Information

Primary practice address
6140 Mae Anne Ave Ste 1B Reno NV 89523-4707
Phone: (775) 787-1144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X PT21786 Nevada

Profile Details

NPI number 1235885534
LBN Legal business name Avera, Tamara W
Credentials PHARMACY TECHNICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2022
Last updated Feb 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235885534 NPPES
Nevada MEDICAID 2989448
Nevada MEDICAID PT21786

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