Individual
MRS. TAMMI LYNN BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
342 N 7TH ST, MEDFORD, WI 54451-1508
(715) 748-0771
Mailing address
342 N 7TH ST, MEDFORD, WI 54451-1508
(715) 748-0771
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35050000
—
WI
Enumeration date
01/28/2008
Last updated
01/28/2008
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