Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tamika Boulware Phyfer, PA-C

Individual provider Physician Assistant · NPI 1750505095

Tamika Boulware Phyfer, PA-C is a Physician Assistant in Henderson, Nevada. Qualified in 1997, 29 years ago. Practices with Intermountain Medical Holdings Nevada Inc, a 308-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
29
Licensed in
NV
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

595 W Lake Mead Pkwy
Henderson, NV 89015-7015
Phone: (702) 566-5500
Fax: (702) 558-7238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 585 (NV)

Record details

NPI number1750505095
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 11, 2007
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Intermountain Medical Holdings Nevada Inc — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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