Provider Demographics
NPI:1730318254
Name:OLIVER, TAMARRAH D (PA)
Entity type:Individual
Prefix:MISS
First Name:TAMARRAH
Middle Name:D
Last Name:OLIVER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1430 TRUXTUN AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5220
Mailing Address - Country:US
Mailing Address - Phone:661-635-3050
Mailing Address - Fax:661-326-1347
Practice Address - Street 1:2790 S ELM AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-5435
Practice Address - Country:US
Practice Address - Phone:559-457-5200
Practice Address - Fax:559-457-5290
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA20385363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant