O'Daniel, Tamalynn

O'Daniel, Tamalynn is an individual health care provider with primary practice located at 3209 Chickadee Rd , Louisville KY 40213-1307. 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 / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. O'Daniel, Tamalynn can be contacted via phone (507) 400-8636.

Contact Information

Primary practice address
3209 Chickadee Rd Louisville KY 40213-1307
Phone: (507) 400-8636
Fax: (516) 531-8816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001869A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71001869A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3003327 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3003327 Kentucky

Profile Details

NPI number 1386644425
LBN Legal business name O'Daniel, Tamalynn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated May 24th, 2022 - about 4 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 1386644425 NPPES
Kentucky Other 3003327 APRN LICENSURE

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