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NPI 1922033455 · live from the CMS NPI Registry

Tammara Sam Beeghly, PA

Physician Assistant, Medical in Las Vegas, NV. National Provider Identifier 1922033455, active.

NPI record

NPI1922033455 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant, Medical 363AM0700X
Practice location8930 W Sunset Rd Ste 370, Las Vegas, NV 89148
Practice phone702-248-2228
Mailing addressPo Box 531353, Henderson, NV 89053
EnumeratedJuly 12, 2006
Last updatedDecember 3, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant, Medical primary363AM0700XPA0265 (NV)
Physician Assistant, Medical363AM0700XPA829 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.