MRS. TAMMIE JEAN PORRAS NP NPI 1649201161

NPI Information

NPI: 1649201161
Provider Name: MRS. TAMMIE JEAN PORRAS, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
4600 LAKE ROAD AVE STE 301
ROBBINSDALE, MN
ZIP 55422
Phone: (763) 588-7099
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MRS. Tammie Jean Porras, NP is an adult health nurse practitioner in Robbinsdale, MN. MRS. Tammie Jean Porras, NP NPI is 1649201161. 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:

4600 LAKE ROAD AVE STE 301
ROBBINSDALE, MN
ZIP 55422-845
Phone: (763) 588-7099
Fax: (763) 522-2222

The enumeration date for this NPI number is 7/5/2006 and was last updated on 4/11/2018.

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
1	363L00000X	Nurse Practitioner		R155408-9	MINNESOTA	No
2	363LA2200X	Nurse Practitioner	Adult Health	R155408-9	MINNESOTA	Yes

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
1	1508102500	OTHER	MINNESOTA	GROUP NPI
2	CO9271	OTHER	MINNESOTA	GROUP MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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