Provider Demographics
NPI:1205031929
Name:DAY, TAMAIRA M (LPN)
Entity Type:Individual
Prefix:MS
First Name:TAMAIRA
Middle Name:M
Last Name:DAY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 RAYMOND DR
Mailing Address - Street 2:32 17
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-3260
Mailing Address - Country:US
Mailing Address - Phone:585-953-5679
Mailing Address - Fax:
Practice Address - Street 1:8 RAYMOND DR
Practice Address - Street 2:32 17
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-3260
Practice Address - Country:US
Practice Address - Phone:585-953-5679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2637731164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse