Baines, Tamahra M

Baines, Tamahra M is an individual health care provider with primary practice located at 1102 S Park St , Madison WI 53715-1708. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Baines, Tamahra M can be contacted via phone (608) 282-8270.

Contact Information

Primary practice address
1102 S Park St Madison WI 53715-1708
Phone: (608) 282-8270
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1592 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1592 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1592 Wisconsin

Profile Details

NPI number 1891749156
LBN Legal business name Baines, Tamahra M
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Dec 28th, 2023 - about 3 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 1891749156 NPPES
Wisconsin MEDICAID 39945600

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