TAMERA LYN MAHAFFEY NP NPI 1518098789

NPI Information

  • NPI: 1518098789
  • Provider Name: TAMERA LYN MAHAFFEY, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 614 MICHIGAN AVE W
    WALKER, MN
    ZIP 56484
  • Phone: (218) 547-7700

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NPI Details

Tamera Lyn Mahaffey, NP is a family nurse practitioner in Walker, MN. Tamera Lyn Mahaffey, NP NPI is 1518098789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

614 MICHIGAN AVE W
WALKER, MN
ZIP 56484-276
Phone: (218) 547-7700

The enumeration date for this NPI number is 3/8/2007 and was last updated on 9/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR079624-6MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18HC548MEDICARE PINMINNESOTA
2374R6MAOTHERMINNESOTABCBS
3Q04838MEDICARE UPINMINNESOTA
4988102600MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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