Haas, Tamara K

Haas, Tamara K is an sole proprietor health care provider with primary practice located at 11331 S Santa Fe Ln , Goodyear AZ 85338-9352. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Haas, Tamara K can be contacted via phone (623) 546-0411.

Contact Information

Primary practice address
11331 S Santa Fe Ln Goodyear AZ 85338-9352
Phone: (623) 546-0411
Fax: (623) 546-0411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN114395 Arizona

Profile Details

NPI number 1801963509
LBN Legal business name Haas, Tamara K
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Sep 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801963509 NPPES
Arizona MEDICAID 894312

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