Irvin, Tameka Roman
Irvin, Tameka Roman is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Irvin, Tameka Roman can be contacted via phone (864) 560-6012.Contact Information
Primary practice address
101 E Wood St
Spartanburg SC 29303-3040
Phone: (864) 560-6012
Fax: (864) 560-6013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 19151 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 19151 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | CNS-00255 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 19151 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 364SG0600X | 19151 | South Carolina |
Profile Details
| NPI number | 1427454479 |
|---|---|
| LBN Legal business name | Irvin, Tameka Roman |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2014 |
| Last updated | Apr 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427454479 | NPPES |
| South Carolina | Other | SC48035019 | MEDICARE PIN |
| South Carolina | MEDICAID | NP3016 | MEDICARE PIN |
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