Phyfer, Tamika Boulware
Phyfer, Tamika Boulware is an sole proprietor health care provider with primary practice located at 595 W Lake Mead Pkwy , Henderson NV 89015-7015. 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. Phyfer, Tamika Boulware can be contacted via phone (702) 566-5500.Contact Information
Primary practice address
595 W Lake Mead Pkwy
Henderson NV 89015-7015
Phone: (702) 566-5500
Fax: (702) 558-7238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 585 | Nevada |
Profile Details
| NPI number | 1750505095 |
|---|---|
| LBN Legal business name | Phyfer, Tamika Boulware |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750505095 | NPPES |
| Nevada | MEDICAID | 1750505095 | |
| Nevada | Other | 585 |
Popular Providers
-
Braun, Julie S
2780 W Horizon Ridge Pkwy Ste 30 , Henderson NV 89052-3995 -
Grey, Jefferson Irving
149 N Gibson Rd Ste H , Henderson NV 89014-6763 -
Morgan, Paul A
1505 Wigwam Pkwy Ste 330 , Henderson NV 89074-8195 -
Dicarlo, Richard
2662 W Horizon Ridge Pkwy , Henderson NV 89052-2844 -
Stone, Dorothy Ella
861 Coronado Center Dr Suite 200, Henderson NV 89052-3992 -
Henderson, Steven Royce
100 N Green Valley Pkwy Ste 240 , Henderson NV 89074-7704 -
Signorino, Shannon
1655 W Horizon Ridge Pkwy , Henderson NV 89012-3494 -
Kittleson, Jeanie Marie
St Rose Dominican De Lima 102 E Lake Mead Pkwy, Henderson NV 89015