Tamara Ahmad, R.N.

Individual provider Active NPI Registered Nurse · Pewaukee, WI

NPI 1609323799 · NPPES record last updated Sep 6, 2016

Key facts

NPI
1609323799
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
230425-30 (WI)
Practice address
N25W24011 River Park Dr Unit 12
Pewaukee, WI 53072-5829
Phone
(262) 364-6337
NPI assigned
Sep 6, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
230425-30WIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 230425-30 WI Yes

Addresses

Primary practice location

N25W24011 River Park Dr Unit 12
Pewaukee, WI 53072-5829

Mailing address

N25W24011 River Park Dr Unit 12
Pewaukee, WI 53072-5829
Phone (262) 364-6337

Other providers in Pewaukee, WI

All providers in Pewaukee, WI · Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.