O'Keefe, Tawnya D.

O'Keefe, Tawnya D. is an individual health care provider with primary practice located at 420 E Indiana Ave , Coeur D Alene ID 83814-2989. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. O'Keefe, Tawnya D. can be contacted via phone (208) 797-3597.

Contact Information

Primary practice address
420 E Indiana Ave Coeur D Alene ID 83814-2989
Phone: (208) 797-3597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP421-A Idaho

Profile Details

NPI number 1104922400
LBN Legal business name O'Keefe, Tawnya D.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Oct 19th, 2022 - about 2 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 1104922400 NPPES
Other 13429732 MEDICARE PTAN
Other 1370136 MEDICARE PTAN
MEDICAID 805757300 MEDICARE PTAN
MEDICAID 8080036 MEDICARE PTAN

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