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Individual

TAMMY J HARGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8600 N KENTUCKY AVE, EVANSVILLE, IN 47725-6302
(812) 426-9565
(812) 426-9572
Mailing address
PO BOX 3868, EVANSVILLE, IN 47737-3868
(812) 426-9565
(812) 426-9572

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000735A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000282096
ANTHEM
IN
05
200347790
IN
01
78007036
KY MEDICAID
IN
Enumeration date
11/28/2006
Last updated
07/12/2013
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