# HEATHER TAMBURRINO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386764116
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 53283 | CA | — |
| 363A00000X | Physician Assistant | 5601004975 | MI | — |
| 363A00000X | Physician Assistant | PA1390 | NV | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 07/23/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1386764116 | NPI | — |
| 01 | — | 5601004975 | MICHIGAN LARA | MI |
| 01 | — | CS20630 | NV PHARMACY | NV |
| 01 | — | GW483Z | MEDICARE | NV |
| 01 | — | PA1390 | NSBME | NV |