Doctor Name: | TAMAREE J HAFER |
NPI Number: | 1124356340 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | NP-11038 |
Business Practice Address: | 1 E National Rd Vandalia, OH - 453772116 |
Business Phone Number: | 9378983600 |
Business Fax Number: | 9378982731 |
Mailing Address: | 1 East National Road, VANDALIA |
State: | OH |
Postal Code: | 45377 |
Phone Number: | 9378983600 |
Fax Number: | 9378982731 |
NPI Enumeration Date: | 11/29/2009 |
NPI Last Update Date: | 03/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP-11038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |