Individual
TAMARA DAWN DEMEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1331 G ST, LEWISTON, ID 83501-1964
(208) 743-9616
(833) 963-2105
Mailing address
1331 G ST, LEWISTON, ID 83501-1964
(208) 743-9616
(833) 963-2105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61172
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2136938
—
WA
Enumeration date
04/12/2019
Last updated
03/13/2023
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