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Individual

MRS. TAMMY L CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, A-GNP-C

Contact information

Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 330-3689
Mailing address
3065 N CANTLIN DR, BLOOMINGTON, IN 47404-1395

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
28125206
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71013910A
IN

Other

Enumeration date
01/12/2023
Last updated
08/22/2023
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