Haman, Tara Eileen

Haman, Tara Eileen is an individual health care provider with primary practice located at 3200 Providence Dr , Anchorage AK 99508-4615. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Haman, Tara Eileen can be contacted via phone (907) 212-5006.

Contact Information

Primary practice address
3200 Providence Dr Anchorage AK 99508-4615
Phone: (907) 212-5006
Fax: (907) 212-4896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R168345-5 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X R 168345-5 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 104039 Alaska

Profile Details

NPI number 1336430305
LBN Legal business name Haman, Tara Eileen
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2011
Last updated Oct 29th, 2015 - about 10 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 1336430305 NPPES
Iowa MEDICAID ENROLLED
Iowa MEDICAID ENROLLED

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