Individual
TAMMY FAW SEVEREIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10512 PARK RD, STE 101, CHARLOTTE, NC 28210-8473
(704) 542-3631
(704) 542-3646
Mailing address
PO BOX 604350, CHARLOTTE, NC 28260-4350
(704) 333-0741
(704) 365-2073
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20002
SC
363L00000X
Nurse Practitioner
20002RX
SC
363L00000X
Nurse Practitioner
Primary
5008336
NC
363LF0000X
Family Nurse Practitioner
20002
SC
Other
Enumeration date
08/16/2015
Last updated
03/26/2025
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