Individual
TAMMY LYNNE VANWARMERDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6767 GREEN VALLEY RD, PLACERVILLE, CA 95667-8984
(530) 295-2265
(530) 621-1397
Mailing address
6620 PROVIDENCE HILL RD, GARDEN VALLEY, CA 95633-9770
(208) 697-1877
(530) 621-1397
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
612381
CA
163WS0200X
School Registered Nurse
Primary
612381
CA
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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