Individual
MS. TAMMY ABBOTT HERUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8600 N STATE ROUTE 91, SUITE 250, PEORIA, IL 61615-9541
(309) 692-5394
Mailing address
5040 SOUTHERN PINE CIR, VENICE, FL 34293-4259
(309) 339-1274
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1837352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303366000
—
FL
Enumeration date
06/08/2006
Last updated
03/19/2025
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