Individual
TAMERA LYN MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
614 MICHIGAN AVE W, WALKER, MN 56484-2276
(218) 547-7700
Mailing address
614 MICHIGAN AVE W, WALKER, MN 56484-2276
(218) 547-7700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R079624-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374R6MA
BCBS
MN
05
—
988102600
—
MN
Enumeration date
03/08/2007
Last updated
09/02/2015
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