Individual
TAMMY M BRETEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1970 N HWY 190, COVINGTON, LA 70433-5158
(985) 867-8585
(985) 867-3644
Mailing address
PO BOX 3370, COVINGTON, LA 70434-3370
(985) 867-8585
(985) 867-3644
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP05447
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1793272
—
LA
01
—
P00741734
RRMC
LA
Enumeration date
04/25/2008
Last updated
09/25/2009
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