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Individual
TAMMY LYNN WARREN I
Active
Individual
TAMMY LYNN WARREN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
770996
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
770996
NY
Other
Enumeration date
11/30/2020
Last updated
09/28/2024
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