Individual
TAMMY CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 756-5353
(573) 756-4557
Mailing address
RT. 1 BOX 226, CENTERVILLE, MO 63633
(573) 366-7793
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
046630
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020005456
MO
Other
Enumeration date
10/12/2006
Last updated
01/08/2024
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