Individual
MS. TAMMY LEE KUJALA
Active
Individual
MS. TAMMY LEE KUJALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704197703
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704197703
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12631123
CAQH
MI
Enumeration date
08/15/2012
Last updated
07/20/2022
Update your record
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