Provider Demographics
NPI:1992011381
Name:HALINIEWSKI, TAMARA L (ARNP)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:L
Last Name:HALINIEWSKI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9760 SW 344TH ST
Mailing Address - Street 2:MEDICAL CENTER
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-1800
Mailing Address - Country:US
Mailing Address - Phone:305-246-6846
Mailing Address - Fax:
Practice Address - Street 1:9760 SW 344TH ST
Practice Address - Street 2:MEDICAL CENTER
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-1800
Practice Address - Country:US
Practice Address - Phone:305-246-6846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9265015363LA2100X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health