Bambulas, Tammalynn A.

Bambulas, Tammalynn A. is an individual health care provider with primary practice located at 2601 E Roosevelt St , Phoenix AZ 85008-4973. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Bambulas, Tammalynn A. can be contacted via phone (602) 344-5119.

Contact Information

Primary practice address
2601 E Roosevelt St Phoenix AZ 85008-4973
Phone: (602) 344-5119
Fax: (602) 344-5894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 079701 Arizona

Profile Details

NPI number 1396768545
LBN Legal business name Bambulas, Tammalynn A.
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Feb 27th, 2015 - about 10 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 1396768545 NPPES
Arizona MEDICAID 419582

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