Individual
MRS. TAMMIE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-AC/PC
Contact information
Practice address
1301 BARBARA JORDAN BLVD, SUITE 400, AUSTIN, TX 78723-3077
(512) 708-1234
(512) 708-4567
Mailing address
5503 WESTMINSTER DR, AUSTIN, TX 78723-2616
(512) 534-6614
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
700730
TX
Other
Enumeration date
05/15/2007
Last updated
03/10/2020
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