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Contact Information

TAMARA D DEMEAN, NP-C
1331 G ST
LEWISTON, ID83501-1964
 Phone: 208-743-9616
 Fax: 833-963-2105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TAMARA D DEMEAN · (Female)

NPI Number 1891258182
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 04/12/2019
Last updated 03/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 61172
  • WA Medicaid 2136938
Hospital affiliation(s)
  • ST JOSEPH REGIONAL MEDICAL CENTER - (Acute Care)
    415 SIXTH STREET
    LEWISTON, ID 83501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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