Whyte Kasmarik, Tamara Lynn

Whyte Kasmarik, Tamara Lynn is an individual health care provider with primary practice located at 17705 Hutchins Dr Ste 101 , Minnetonka MN 55345-4102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Whyte Kasmarik, Tamara Lynn can be contacted via phone (952) 401-8300.

Contact Information

Primary practice address
17705 Hutchins Dr Ste 101 Minnetonka MN 55345-4102
Phone: (952) 401-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R0999234 Minnesota

Profile Details

NPI number 1952373102
LBN Legal business name Whyte Kasmarik, Tamara Lynn
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 9th, 2007 - about 18 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 1952373102 NPPES
Minnesota Other 046G4KA BCBS
Minnesota Other CP9041014218 BCBS
Minnesota Other 1202588 BCBS

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