Individual
TAMMI ANNETTE MATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 COOK ST, SIOUX CITY, IA 51103-3707
(712) 233-4144
Mailing address
309 COOK ST, SIOUX CITY, IA 51103-3707
(712) 233-4144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A160264
IA
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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