Individual
TAMSEN E CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
975 RYLAND ST, SUITE 105, RENO, NV 89502
(775) 982-5640
(775) 982-5641
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1064
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12188994
CAQH
—
05
—
1356539043
—
NV
Enumeration date
10/09/2007
Last updated
01/05/2021
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