Individual
MS. TAMMY LYNN SALVATORE BERERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
120 N EAGLE CREEK DR, SUITE 460, LEXINGTON, KY 40509-1827
(859) 263-7248
Mailing address
120 N EAGLE CREEK DR, SUITE 460, LEXINGTON, KY 40509-1827
(859) 263-7248
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3006126P
KY
363LA2100X
Acute Care Nurse Practitioner
APN0000014834
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100166930
—
KY
Enumeration date
02/18/2010
Last updated
04/26/2014
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