| NPI | 1730462631 |
|---|---|
| Other Name | TAMMY CAROL JOHANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7477) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: ND R31682) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: MN 134416-3) | |
| 174H00000X Health Educator | |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2020-07-15 |