Individual
TAMMIE SUE WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
600 PLAINFIELD RD, APT 406, WEST LAFAYETTE, OH 43845-9614
(740) 545-6315
Mailing address
600 PLAINFIELD RD, APT 406, WEST LAFAYETTE, OH 43845-9614
(740) 545-6315
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
501034011005
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
501034011005
NURSE AIDE COMPETENCY PROGRAM
OH
Enumeration date
01/27/2013
Last updated
01/27/2013
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