Abbott, Tammy

Abbott, Tammy is an individual health care provider with primary practice located at 8600 N State Route 91 Suite 250, Peoria IL 61615-9541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Abbott, Tammy can be contacted via phone (309) 692-5394.

Contact Information

Primary practice address
8600 N State Route 91 Suite 250 Peoria IL 61615-9541
Phone: (309) 692-5394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP1837352 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209006259 Illinois

Profile Details

NPI number 1184665796
LBN Legal business name Abbott, Tammy
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 19th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184665796 NPPES
Florida MEDICAID 303366000

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