Individual ProviderTamara MalesevNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(216) 544-5387PECOS EnrollmentBased on the most recent information from CMS, provider Tamara Malesev does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1093168213Provider TypeIndividualFull NameMalesev, TamaraCredentialNPGenderFemaleSole ProprietorYesEnumeration Date7/22/2016Last Updated7/9/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(216) 544-5387FaxUnlisted FaxMailing LocationMailing Address12700 Lake Ave Apt 1102, Lakewood, OH 44107-1530Phone(216) 544-5387FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseCOA.19068-NPOhioProvider IdentifiersIDDescriptionIssuerID1093168213DescriptionOtherIssuerADULT/GERONTOLOGYOhio