Individual
TAMMY L. PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
20 THE LEGENDS PKWY, EUREKA, MO 63025-3801
(636) 938-3399
(636) 938-9609
Mailing address
20 THE LEGENDS PKWY, EUREKA, MO 63025-3801
(636) 938-3399
(636) 938-9609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
131584
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831283894
—
MO
Enumeration date
10/03/2006
Last updated
02/28/2018
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