Kraemer, Tessa Maureen

Kraemer, Tessa Maureen is an individual health care provider with primary practice located at One Hospital Dr , Columbia MO 65212-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Kraemer, Tessa Maureen can be contacted via phone (573) 882-8901.

Contact Information

Primary practice address
One Hospital Dr Columbia MO 65212-0001
Phone: (573) 882-8901
Fax: (573) 884-1902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2022029415 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2022029415 Missouri

Profile Details

NPI number 1972194397
LBN Legal business name Kraemer, Tessa Maureen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2021
Last updated Oct 6th, 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 1972194397 NPPES
Missouri MEDICAID 220112449

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