TAMARA WITTROCK


Address: 5111 Robin Ln, Farmington, MN 55024-2007
Phone: 6515281130

TAMARA WITTROCK (NPI# 1255949459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255949459
Entity Type Individual
Full Name TAMARA WITTROCK
Practice Address 5111 Robin Ln
Farmington
MN 55024-2007
Practice Telephone 6515281130
Mailing Telephone 6515281130
Enumeration Date 2020-07-14
Last Update Date 2020-07-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 University Ave W Ste 20, Saint Paul, MN 551044747 6515281130 6123732470

Office Location

Street Address 5111 ROBIN LN
City FARMINGTON
State MN
Zip Code 55024-2007

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932758158 Renetia Jackson Technician 1210 Spruce Street, Farmington, MN 55024 2019-09-10
1871094912 Megan Provost Registered Nurse 17680 Formosa Ave, Farmington, MN 55024 2018-02-23
1356752463 Your Vision Achieved, LLC Marriage & Family Therapist 5404 187th Street West, Farmington, MN 55024 2014-05-12
1427304203 Joseph Samuel Emond Jr. Family Medicine 19730 Meadowlark Way, Farmington, MN 55024 2012-07-30
1053680991 Annie Lee Mickelson Chiropractor 20700 Chippendale Ave Suite 7, Farmington, MN 55024 2011-12-21
1770770828 Grand St Paul Cvs LLC Durable Medical Equipment & Medical Supplies 19605 Pilot Knob Rd., Farmington, MN 55024 2007-10-02
1275725277 Family Vision Clinic of Farmington Optometrist 19650 Pilot Knob Road, Farmington, MN 55024 2007-08-14
1871503136 Independent School District #192 Early Intervention Provider Agency 20655 Flagstaff Avenue, Farmington, MN 55024 2006-08-09
1588692669 Northfield Hospital Clinic/Center 4645 Knutsen Dr, Farmington, MN 55024 2006-06-29
1902887284 David E Truax Chiropractor 20700 Chippendale Ave, Suite 7, Farmington, MN 55024 2005-11-14
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700401759 William Cody Alley Student in an Organized Health Care Education/Training Program 1136 Heather Cir, Farmington, UT 84025-4305 2020-06-15
1497370456 Tanner Winger Student in an Organized Health Care Education/Training Program 1405 Fairway Cir, Farmington, UT 84025-2817 2020-06-15
1154945855 Shelby Ann Oswald Student in an Organized Health Care Education/Training Program 19976 Butternut Trl, Farmington, MN 55024-1475 2020-05-29
1417579434 Herbert E Downton Ramos Student in an Organized Health Care Education/Training Program Surgery Residency Program, 263 Farmington Avenue, Farmington, CT 06030-8073 2020-05-13
1710507272 Ethan A Miller Student in an Organized Health Care Education/Training Program Uconn School of Medicine - Graduate Medical Education, 263 Farmington Avenue - Lm068, Farmington, CT 06030-1921 2020-04-24
1821617606 David Wozny Student in an Organized Health Care Education/Training Program General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 2020-04-13
1265061808 Benjamin Mucci Student in an Organized Health Care Education/Training Program 43 Portage Xing, Farmington, CT 06032-2737 2020-04-06
1508495185 Zachary Boivin Student in an Organized Health Care Education/Training Program Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 2020-04-06
1508499435 Kelsey Erin Boyne Student in an Organized Health Care Education/Training Program 200 Academic Way, Farmington, CT 06032 2020-02-19
1184257669 Huiyao Ouyang Student in an Organized Health Care Education/Training Program 12 Talcott Forest Rd Apt A, Farmington, CT 06032-3575 2020-02-13
Find all providers in FARMINGTON

Competitor

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City FARMINGTON
Zip Code 55024

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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