Miller, Tamara L

Miller, Tamara L is an individual health care provider with primary practice located at Crest Wellness Center University Of Wisconsin:Eau Claire, Eau Claire WI 54701-6101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Miller, Tamara L can be contacted via phone (715) 836-4311.

Contact Information

Primary practice address
Crest Wellness Center University Of Wisconsin:Eau Claire Eau Claire WI 54701-6101
Phone: (715) 836-4311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1937 Wisconsin

Profile Details

NPI number 1831143866
LBN Legal business name Miller, Tamara L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Aug 1st, 2013 - 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 1831143866 NPPES
Wisconsin MEDICAID 41971200

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