Individual
TAMMY MICHELLE CRACE BROWNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5256 E 65TH ST, INDIANAPOLIS, IN 46220-4819
(317) 429-0120
(866) 202-5499
Mailing address
5256 E 65TH ST, INDIANAPOLIS, IN 46220-4819
(317) 429-0120
(317) 800-7730
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10001016A
IN
363AM0700X
Medical Physician Assistant
PA483
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000581231
BCBS
KY
01
—
1208007
MEDICARE INDIVIDUAL PROVI
KY
01
—
P00655066
RAILROAD MEDICARE PIN
KY
Enumeration date
01/27/2006
Last updated
08/02/2016
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