Tammie C Waters is a Family in Baldwyn, Mississippi. Tammie C Waters practices all healthcare services and medical treatments related to Family. The NPI Number for Tammie C Waters is 1770636243. The last update date is 2007-07-08.
Tammie C Waters's current location address is 305 Mill St, Baldwyn, Mississippi. You can contact this provider via phone number 6623653253 and fax number 6623653484. The mailing address for Tammie C Waters is 305 Mill St, Baldwyn, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tammie C Waters |
|---|---|
| Address | 305 Mill St, Baldwyn, Mississippi |
| Phone Number | 6623653253 |
| Fax Number | 6623653484 |
| Sole Proprietor | Y |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1770636243 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 305 Mill St |
|---|---|
| City | Baldwyn |
| State | Mississippi (MS) |
| Post Code | 388242122 |
| Phone Number | 6623653253 |
| Fax Number | 6623653484 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R574929 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32-0073167 | MS | HEALTHLINK | |
| 32-0073167 | MS | BLUE CROSSBLUE SHIELD | |
| 32-0073167 | MS | CIGNA | |
| 32-0073167 | MS | AETNA | |
| 3222231 | MS | -- | |
| 32-0073167 | MS | UNITED HEALTHCARE | |
| 32-0073167 | MS | BAPTIST |
Post Comment/ Review Below
What is the Tammie C Waters's unique identification number?
The Tammie C Waters has been assigned the NPI (National Provider Identifier) Number 1770636243 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Tammie C Waters is geographically located?
The Tammie C Waters is physically situated at the following location: 305 Mill St, Baldwyn, MS, 388242122.
What is the Tammie C Waters's specialty and taxonomy code?
The Tammie C Waters's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770636243 to Tammie C Waters?
The Tammie C Waters received its 1770636243 assignment from the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date were the details related to Tammie C Waters most recently updated or revised?
The information pertaining to Tammie C Waters, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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