TAMMY L GANNAWAY

LEWISTON, ME
NPI1376872606
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ME  CNP91069)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: NV  APRN001615)
Enumeration Date2009-12-16
Last Update Date2023-01-10
Business Address
TAMMY L GANNAWAY FNP
37 PARK ST
LEWISTON, ME 04240-7195
Phone number: 207-333-1080
Mailing Address
TAMMY L GANNAWAY FNP
PO BOX 2621
WATERVILLE, ME 04903-2621
Phone number: 207-272-0638