Individual
MRS. TAMMY BURDEN RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
310 W IOWA ST, EVANSVILLE, IN 47710-1724
(812) 450-7419
(812) 450-6760
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-7419
(812) 450-6760
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002452A
IN
363LA2100X
Acute Care Nurse Practitioner
28134404A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200873860
—
IN
Enumeration date
08/05/2007
Last updated
12/10/2015
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