Individual
MRS. TAMMIE MARIE LEYDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
214 S APOPKA AVE, INVERNESS, FL 34452-4803
(352) 508-7310
(833) 905-0111
Mailing address
214 S APOPKA AVE, INVERNESS, FL 34452-4803
(352) 508-7310
(833) 905-0111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2768341
OH
363LF0000X
Family Nurse Practitioner
17310
OH
363LF0000X
Family Nurse Practitioner
9479374
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9479374
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113458400
—
FL
05
—
3025372
—
OH
Enumeration date
08/06/2015
Last updated
04/23/2024
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