Dahlheimer, Tambra R
Dahlheimer, Tambra R is an individual health care provider with primary practice located at 2450 Riverside Ave Se East Building Journey Clinic 9E, Minneapolis MN 55454. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Dahlheimer, Tambra R can be contacted via phone (612) 365-8100.Contact Information
Primary practice address
2450 Riverside Ave Se East Building Journey Clinic 9E
Minneapolis MN 55454
Phone: (612) 365-8100
Fax: (612) 365-8101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R1005075 | Minnesota |
Profile Details
| NPI number | 1689644908 |
|---|---|
| LBN Legal business name | Dahlheimer, Tambra R |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Apr 11th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689644908 | NPPES |
| Minnesota | MEDICAID | 611816000 |
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