Moore, Tammy H.

Moore, Tammy H. is an individual health care provider with primary practice located at 600 E. Main Street , Elma WA 98541. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Moore, Tammy H. can be contacted via phone (360) 495-3244.

Contact Information

Primary practice address
600 E. Main Street Elma WA 98541
Phone: (360) 495-3244
Fax: (360) 495-3364
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006758 Washington
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP30006758 Washington

Profile Details

NPI number 1063440964
LBN Legal business name Moore, Tammy H.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Mar 7th, 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 1063440964 NPPES
Washington Other 9644014 DSHS#
Washington MEDICAID 1090710 DSHS#
Washington Other 0159113 DSHS#

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