Cooper, Tammy Lyvonne

Cooper, Tammy Lyvonne is an individual health care provider with primary practice located at 12522 Great Park Cir #303 , Germantown MD 20876. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Cooper, Tammy Lyvonne can be contacted via phone (240) 301-4866.

Contact Information

Primary practice address
12522 Great Park Cir #303 Germantown MD 20876
Phone: (240) 301-4866
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00372800 New Jersey
Nursing Service Providers / Medical-Surgical 163WM0705X 26NR11441600 New Jersey
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 26NR11441600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R233355 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP500005960 District of Columbia

Profile Details

NPI number 1720109846
LBN Legal business name Cooper, Tammy Lyvonne
Credentials APN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Dec 21st, 2023 - about last year

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 1720109846 NPPES
New Jersey MEDICAID 0325279

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