Individual provider · NPI-1

Tammy Lynette Abell, RN

Registered Nurse, Emergency · Stayton, OR

NPI number1548739725
StatusActive
Last updated in NPPESNov 17, 2018

Details

NPI
1548739725
Entity type
Individual (NPI-1)
Name
Tammy Lynette Abell
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 17, 2018
Last updated
Nov 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WE0003X Registered Nurse, Emergency20163336RNORYes
163WF0300X Registered Nurse, Flight201603336RNOR

Practice location

1401 N 10th Ave
Stayton, OR 97383-1311

Phone 503-769-2175

Mailing address

182 9th St
Jefferson, OR 97352-9357

Phone 928-713-0855

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