Individual
MRS. TAMMY MARIE BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NP
Contact information
Practice address
600 FITCH ST, SUITE 206, ELMIRA, NY 14905-1634
(607) 732-1515
(607) 732-2234
Mailing address
114 CHESTNUT DR, HORSEHEADS, NY 14845-1704
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001118-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000162403
BCBS PROVIDER ID#
NY
01
—
000560818005
HEALTHNOW PROVIDER ID#
NY
05
—
02473783
—
NY
05
—
1011553890001
—
PA
01
—
161568690
POMCO PROVIDER ID#
NY
01
—
1899697
GHI PPO PROVIDER ID#
NY
01
—
7647523
AETNA PROVIDER ID#
NY
Enumeration date
10/04/2005
Last updated
01/25/2011
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