TAMMY L PROUT

PORT HURON, MI
NPI1356424758
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MI  4704173662)
Enumeration Date2006-10-23
Last Update Date2017-08-15
Business Address
TAMMY L PROUT NP
1221 PINE GROVE AVE EMERGENCY DEPARTMENT
PORT HURON, MI 48060-3511
Phone number: 810-989-3300
Mailing Address
TAMMY L PROUT NP
10601 4TH ST NW
ALBUQUERQUE, NM 87114-2407
Phone number: 505-828-3000
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