| NPI | 1851672067 |
|---|---|
| Former Name | TAMMY JEANNE BADER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NE 111270) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: CO 0000875) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: CO C-APN.N0000875-C-N) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: IA L130515) | |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2021-05-25 |