Individual
TAMMY PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
9407 NE VANCOUVER MALL DR, VANCOUVER, WA 98662-6191
(660) 973-0612
Mailing address
224 N PHILLIPS AVE STE 102, SIOUX FALLS, SD 57104-6062
(800) 582-4090
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN60725606
WA
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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