Individual
TAMMY LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 W SUPERIOR ST STE 620, DULUTH, MN 55802-1723
(218) 606-1797
(651) 952-0039
Mailing address
324 W SUPERIOR ST STE 620, DULUTH, MN 55802-1723
(218) 591-2648
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3238
MN
363LF0000X
Family Nurse Practitioner
Primary
R147980-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591804900
—
MN
Enumeration date
11/27/2006
Last updated
05/10/2021
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