Shasteen, Tamara

Shasteen, Tamara is an individual health care provider with primary practice located at 3755 E Main St Ste 190 , Saint Charles IL 60174-2463. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Shasteen, Tamara can be contacted via phone (630) 549-6245.

Contact Information

Primary practice address
3755 E Main St Ste 190 Saint Charles IL 60174-2463
Phone: (630) 549-6245
Fax: (630) 701-9500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP14669 California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209007817 Illinois

Profile Details

NPI number 1689709917
LBN Legal business name Shasteen, Tamara
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Dec 22nd, 2022 - about 4 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 1689709917 NPPES
California MEDICAID RN619027

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