Individual
TAMMY L CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
108 LEE ST E RM 129, CHARLESTON, WV 25301-1506
(681) 205-2455
(681) 265-3845
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
(304) 734-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
27942
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000607
—
WV
Enumeration date
08/24/2005
Last updated
08/18/2021
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