Roe, Tammy Denise

Roe, Tammy Denise is an individual health care provider with primary practice located at 9175 W Oquendo Rd , Las Vegas NV 89148-1234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Roe, Tammy Denise can be contacted via phone (702) 252-7342.

Contact Information

Primary practice address
9175 W Oquendo Rd Las Vegas NV 89148-1234
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA742 Nevada

Profile Details

NPI number 1164495651
LBN Legal business name Roe, Tammy Denise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Dec 27th, 2017 - 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 1164495651 NPPES
Nevada MEDICAID 2018661
Nevada MEDICAID 3102661

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