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Individual
TAMATHA M HUNEYCUTT
Active
Individual
TAMATHA M HUNEYCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
17791
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2036
—
SC
Enumeration date
03/19/2012
Last updated
02/23/2021
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