Fredrickson, Tamara
Fredrickson, Tamara is an sole proprietor health care provider with primary practice located at 8169 W Victory Rd , Boise ID 83709-4164. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fredrickson, Tamara can be contacted via phone (208) 854-4173.Contact Information
Primary practice address
8169 W Victory Rd
Boise ID 83709-4164
Phone: (208) 854-4173
Fax: (208) 854-4012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-319A | Idaho |
Profile Details
| NPI number | 1336471911 |
|---|---|
| LBN Legal business name | Fredrickson, Tamara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2010 |
| Last updated | Feb 5th, 2010 - about 16 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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