Tammi M Short in Longview - Nurse Practitioner

Tammi M Short - NPI 1538137153

Tammi M Short is a Nurse Practitioner in Longview, Texas. Tammi M Short practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tammi M Short is 1538137153. The last update date is 2022-03-04.

Tammi M Short's current location address is 3535 N Fourth St Ste 400, Longview, Texas. You can contact this provider via phone number 9037573881 and fax number 9037575948. The mailing address for Tammi M Short is 3535 N Fourth St Ste 400, Longview, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Tammi M Short
Address 3535 N Fourth St Ste 400, Longview, Texas
Phone Number 9037573881
Fax Number 9037575948
Sole Proprietor N
Credentials FNP-C

NPI Number Detail

NPI Number 1538137153
Provider Enumeration Date 2006-03-09
Last Updated Date 2022-03-04

Provider Mailing Address Detail

Address 3535 N Fourth St Ste 400
City Longview
State Texas (TX)
Post Code 756050038
Phone Number 9037573881
Fax Number 9037575948

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 608154
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
302333501 TX MEDICAID GROUP TPI
TXB145668 TX MEDICARE GROUP PTAN
157033504 TX MEDICAID INDIVIDUAL TPI

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FAQs about Tammi M Short

What is the unique provider identifier assigned to Tammi M Short?

The Tammi M Short has been issued the NPI (National Provider Identifier) 1538137153 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Tammi M Short is geographically located?

The Tammi M Short is physically situated at the following location: 3535 N Fourth St Ste 400, Longview, TX, 756050038.

What is Tammi M Short's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tammi M Short is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1538137153 to Tammi M Short?

The Centers for Medicare & Medicaid Services originally issued the 1538137153 to Tammi M Short on 2006-03-09.

When was the Tammi M Short's information last updated?

The Tammi M Short's information was last updated on 2022-03-04.

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