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
Phone: (702) 252-7342
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 8 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 | 1164495651 | NPPES |
| Nevada | MEDICAID | 2018661 | |
| Nevada | MEDICAID | 3102661 |
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