Hedrick, Tammy Theresa

Hedrick, Tammy Theresa is an sole proprietor health care provider with primary practice located at 1401 N Lawnwood Cir , Fort Pierce FL 34950-4835. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hedrick, Tammy Theresa can be contacted via phone (772) 429-3108.

Contact Information

Primary practice address
1401 N Lawnwood Cir Fort Pierce FL 34950-4835
Phone: (772) 429-3108
Fax: (772) 465-0163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP2835832 Florida

Profile Details

NPI number 1558369314
LBN Legal business name Hedrick, Tammy Theresa
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated Dec 21st, 2011 - about 13 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 1558369314 NPPES
Florida MEDICAID 271798100

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