Individual
TAMMY MARIE KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-4000
(937) 641-4500
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.285756-COA1
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.13018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062594
—
OH
Enumeration date
01/18/2012
Last updated
10/13/2023
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