Gross, Tammy Michelle

Gross, Tammy Michelle is an individual health care provider with primary practice located at 30 Stacy Lane Rd , Irvine KY 40336-7356. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gross, Tammy Michelle can be contacted via phone (606) 723-0665.

Contact Information

Primary practice address
30 Stacy Lane Rd Irvine KY 40336-7356
Phone: (606) 723-0665
Fax: (606) 723-0680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006534 Kentucky

Profile Details

NPI number 1801109350
LBN Legal business name Gross, Tammy Michelle
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2010
Last updated Feb 11th, 2014 - 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 1801109350 NPPES
Kentucky MEDICAID 7100134760
Kentucky Other P400039548

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