Tammy Tate-Gobert in Lake Charles - Nurse Practitioner
Tammy Tate-Gobert - NPI 1508816968
Tammy Tate-Gobert is a Nurse Practitioner in Lake Charles, Louisiana. Tammy Tate-Gobert practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tammy Tate-Gobert is 1508816968. The last update date is 2022-06-17.
Tammy Tate-Gobert's current location address is Po Box 1395, Lake Charles, Louisiana. You can contact this provider via phone number 3374942121 and fax number 3374942360. The mailing address for Tammy Tate-Gobert is Po Box 1395, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tammy Tate-Gobert |
|---|---|
| Address | Po Box 1395, Lake Charles, Louisiana |
| Phone Number | 3374942121 |
| Fax Number | 3374942360 |
| Sole Proprietor | N |
| Credentials | ANP-C |
NPI Number Detail
| NPI Number | 1508816968 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2022-06-17 |
Provider Mailing Address Detail
| Address | Po Box 1395 |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706021395 |
| Phone Number | 3374942121 |
| Fax Number | 3374942360 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | APO4589 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00214394 | LA | RRMEDICARE | |
| 1594873 | LA | -- |
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What is the unique 10-digit identification code assigned to Tammy Tate-Gobert by the Centers for Medicare & Medicaid Services?
The Tammy Tate-Gobert has been issued the NPI (National Provider Identifier) 1508816968, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tammy Tate-Gobert located?
The Tammy Tate-Gobert is located at Po Box 1395, Lake Charles, LA 706021395.
What is the Tammy Tate-Gobert's specialty and taxonomy code?
The Tammy Tate-Gobert's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Tammy Tate-Gobert receive the assignment of its 1508816968 from the Centers for Medicare & Medicaid Services?
The Tammy Tate-Gobert was issued its 1508816968 by the Centers for Medicare & Medicaid Services on 2006-05-10.
As of what date were the details related to Tammy Tate-Gobert most recently updated or revised?
The information pertaining to Tammy Tate-Gobert, including its address, specialty, and other relevant details, was last updated or revised on 2022-06-17.