| NPI | 1851672067 | 
|---|---|
| Former Name | TAMMY JEANNE BADER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111270) | 
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CO 0000875) | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L130515) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 111270) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO C-APN.N0000875-C-N) | |
| Enumeration Date | 2011-08-31 | 
| Last Update Date | 2025-06-02 |