Healthcare Provider Details

I. General information

NPI: 1073435228
Provider Name (Legal Business Name): TAMERA LYNN VUKAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 BUTLER PIKE
MERCER PA
16137-5653
US

IV. Provider business mailing address

115 ORCHARD ST
BEAVER FALLS PA
15010-1705
US

V. Phone/Fax

Practice location:
  • Phone: 724-622-1837
  • Fax:
Mailing address:
  • Phone: 814-373-9341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP036497
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: