Berera, Tammy Lynn Salvatore

Berera, Tammy Lynn Salvatore is an individual health care provider with primary practice located at 120 N Eagle Creek Dr Suite 460, Lexington KY 40509-1827. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Berera, Tammy Lynn Salvatore can be contacted via phone (859) 263-7248.

Contact Information

Primary practice address
120 N Eagle Creek Dr Suite 460 Lexington KY 40509-1827
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN0000014834 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3006126P Kentucky

Profile Details

NPI number 1801118856
LBN Legal business name Berera, Tammy Lynn Salvatore
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2010
Last updated Apr 26th, 2014 - about 11 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 1801118856 NPPES
Kentucky MEDICAID 7100166930

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