Healthcare Provider Details

I. General information

NPI: 1023053501
Provider Name (Legal Business Name): TAMARA S MAJORSKY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 PRINGLE WAY SUITE 1002
RENO NV
89502-1464
US

IV. Provider business mailing address

75 PRINGLE WAY SUITE 1002
RENO NV
89502-1464
US

V. Phone/Fax

Practice location:
  • Phone: 775-323-7500
  • Fax: 775-323-4658
Mailing address:
  • Phone: 775-323-7500
  • Fax: 775-323-4658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN 27138
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: