Provider Demographics
NPI:1437280690
Name:NORLING, TAMARA RAE (PA-C)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:RAE
Last Name:NORLING
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:
Other - Last Name:BERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:66111 182ND PLACE
Mailing Address - Street 2:
Mailing Address - City:JACOBSON
Mailing Address - State:MN
Mailing Address - Zip Code:55752
Mailing Address - Country:US
Mailing Address - Phone:320-444-3596
Mailing Address - Fax:
Practice Address - Street 1:WAPITI MEDICAL STAFFING
Practice Address - Street 2:912 INDUSTRIAL DRIVE, SUITE 102
Practice Address - City:MILBANK
Practice Address - State:SD
Practice Address - Zip Code:57252
Practice Address - Country:US
Practice Address - Phone:605-438-6918
Practice Address - Fax:888-242-9992
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1154133V00000X
MN11867363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered