TAMAR BOURDEAU
NPI 1164300646
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since August 23, 2025
773 S 43RD ST, PHILADELPHIA, PA 19104(570) 479-3807 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tamar Bourdeau NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMAR BOURDEAU (NPI 1164300646) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1164300646
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTAMAR BOURDEAU
Location Address773 S 43RD STPhiladelphia, PA 19104
Mailing Address773 S 43rd StPhiladelphia, PA 19104 · (570) 479-3807
Sole ProprietorNo
Enumeration DateAugust 23, 2025
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
NPI 1164300646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.

773 S 43RD ST, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
773 S 43RD ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
773 S 43RD ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
773 S 43RD ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
773 S 43RD ST
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamar Bourdeau's NPI number?

The NPI number for Tamar Bourdeau is 1164300646. It was assigned to this individual provider in the NPPES registry on August 23, 2025.

Where is Tamar Bourdeau located?

Tamar Bourdeau practices at 773 S 43rd St, Philadelphia, PA 19104. The listed phone number is (570) 479-3807.

What is Tamar Bourdeau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tamar Bourdeau was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.