Individual
TAMMY LYNN MICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16567
OH
363L00000X
Nurse Practitioner
Primary
NP16567
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16567
LICENSE NUMBER
OH
Enumeration date
10/07/2014
Last updated
10/14/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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