Individual
TAMMY RENAE HASTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
106 GOVER ST, SOMERSET, KY 42501-3332
(606) 679-8331
(606) 678-4427
Mailing address
106 GOVER ST, SOMERSET, KY 42501-3332
(606) 679-8331
(606) 678-4427
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4012488
KY
Other
Enumeration date
12/05/2023
Last updated
11/06/2024
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