Individual
TAMMY ROSE MCINERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 CONCORD TER, 5TH FLOOR, SUNRISE, FL 33323-2815
(800) 243-3839
Mailing address
1500 CONCORD TER, 5TH FLOOR, SUNRISE, FL 33323-2815
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4704228763
MI
363LP0200X
Pediatric Nurse Practitioner
4704228763
MI
Other
Enumeration date
04/17/2017
Last updated
04/10/2021
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