Porras, Tammie Jean

Porras, Tammie Jean is an individual health care provider with primary practice located at 4600 Lake Road Ave Ste 301 , Robbinsdale MN 55422-1845. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Porras, Tammie Jean can be contacted via phone (763) 588-7099.

Contact Information

Primary practice address
4600 Lake Road Ave Ste 301 Robbinsdale MN 55422-1845
Phone: (763) 588-7099
Fax: (763) 522-2222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R155408-9 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R155408-9 Minnesota

Profile Details

NPI number 1649201161
LBN Legal business name Porras, Tammie Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Apr 11th, 2018 - about 7 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 1649201161 NPPES
Minnesota Other 1508102500 GROUP NPI
Minnesota Other CO9271 GROUP NPI

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