Tammy L Prout is a Family in Port Huron, Michigan. Tammy L Prout practices all healthcare services and medical treatments related to Family. The NPI Number for Tammy L Prout is 1356424758. The last update date is 2017-08-15.
Tammy L Prout's current location address is 1221 Pine Grove Ave, Port Huron, Michigan. You can contact this provider via phone number 8109893300 and fax number 8109852671. The mailing address for Tammy L Prout is 1221 Pine Grove Ave, Port Huron, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tammy L Prout |
|---|---|
| Address | 1221 Pine Grove Ave, Port Huron, Michigan |
| Phone Number | 8109893300 |
| Fax Number | 8109852671 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1356424758 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2017-08-15 |
Provider Mailing Address Detail
| Address | 1221 Pine Grove Ave |
|---|---|
| City | Port Huron |
| State | Michigan (MI) |
| Post Code | 480603511 |
| Phone Number | 8109893300 |
| Fax Number | 8109852671 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 4704173662 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Tammy L Prout's 1356424758?
The Tammy L Prout's NPI (National Provider Identifier) Number is 1356424758. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tammy L Prout located?
The Tammy L Prout is located at 1221 Pine Grove Ave, Port Huron, MI 480603511.
What is the area of specialization for Tammy L Prout, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tammy L Prout is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Tammy L Prout receive its 1356424758 assignment from the Centers for Medicare & Medicaid Services?
The Tammy L Prout was assigned its 1356424758 by the Centers for Medicare & Medicaid Services on 2006-10-23.
When was the information regarding Tammy L Prout most recently updated?
The details pertaining to the Tammy L Prout, including its address, specialty, and other relevant information, were last refreshed on 2017-08-15.
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