Individual
TAMMY DIANE VERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4221 S WESTERN AVE STE 4005, OKLAHOMA CITY, OK 73109-3436
(405) 644-5040
(405) 644-5039
Mailing address
4221 S WESTERN AVE STE 4005, OKLAHOMA CITY, OK 73109-3436
(405) 644-5040
(405) 644-5039
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
77115
OK
363LF0000X
Family Nurse Practitioner
77115
OK
Other
Enumeration date
01/04/2010
Last updated
09/28/2021
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