Individual
MS. TAMMY LAVERNE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
550 POPE AVE, MUNSON ARMY HEALTH CENTER, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6682
(913) 684-6128
Mailing address
550 POPE AVE, MUNSON ARMY HEALTH CENTER, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6682
(913) 684-6128
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN14-93010-101
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN14-93010-101
NURSING LICENSE
KS
Enumeration date
12/05/2005
Last updated
07/08/2007
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