Individual provider · NPI-1

Tammy Lorraine Earnest, FNP-C

Nurse Practitioner, Family · Ketchikan, AK

NPI number1265874655
StatusActive
Last updated in NPPESFeb 8, 2016

Details

NPI
1265874655
Entity type
Individual (NPI-1)
Name
Tammy Lorraine Earnest
Credential
FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2013
Last updated
Feb 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family1383AKYes

Practice location

120 Carlanna Lake Rd
Ste 102
Ketchikan, AK 99901-5611

Phone 907-247-9355 · Fax 907-225-9376

Mailing address

120 Carlanna Lake Rd
Ste 102
Ketchikan, AK 99901-5611

Phone 907-247-9355 · Fax 907-225-9376

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