Medina, Tamara

Medina, Tamara is an individual health care provider with primary practice located at 201 S Cleveland Ave , Hagerstown MD 21740-5745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Medina, Tamara can be contacted via phone (301) 745-3777.

Contact Information

Primary practice address
201 S Cleveland Ave Hagerstown MD 21740-5745
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R189621 Maryland

Profile Details

NPI number 1295138071
LBN Legal business name Medina, Tamara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2014
Last updated Dec 8th, 2020 - about 4 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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