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NPI Code Detail

MEDICARE: TAMMI L CARSTENS PA-C

MEDICARE: TAMMI L CARSTENS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant671NE

General Provider Information

NPI Number : 1972580934
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMI L CARSTENS PA-C
Provider Business Mailing Address
First Line : 4800 HOSPITAL PARKWAY
Second Line :
City : BEATRICE
State : NE
Zip : 68310-6906
Country : US
Telephone Number : 402-228-3344
Fax Number :
Provider Business Practice Location Address
First Line : 4800 HOSPITAL PARKWAY
Second Line :
City : BEATRICE
State : NE
Zip : 68310-6906
Country : US
Telephone Number : 402-228-3344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 03/09/2012

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Directions to “ TAMMI L CARSTENS PA-C” Practice Location

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