Individual
TAMMY MARIE ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3754
(217) 788-7071
Mailing address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3754
(217) 788-7071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074706
CCNA CERTIFICATION
IL
Enumeration date
07/20/2006
Last updated
07/08/2007
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