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Individual
TAMMI M SHORT
Active
Individual
TAMMI M SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
608154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157033504
MEDICAID INDIVIDUAL TPI
TX
01
—
302333501
MEDICAID GROUP TPI
TX
01
—
TXB145668
MEDICARE GROUP PTAN
TX
Enumeration date
03/09/2006
Last updated
03/04/2022
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