Individual
TAMMY GRAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
12400 HIGH BLUFF DR, SAN DIEGO, CA 92130-3077
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
68326
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68326
NEBRASKA NURSING LICENSE
NE
Enumeration date
07/03/2015
Last updated
07/03/2015
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