Provider Demographics
NPI:1124394325
Name:HOWARD, TAMMY RENEE (RN)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:RENEE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 CANNONADE CT
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3860
Mailing Address - Country:US
Mailing Address - Phone:614-855-1412
Mailing Address - Fax:614-855-1412
Practice Address - Street 1:1070 CANNONADE CT
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3860
Practice Address - Country:US
Practice Address - Phone:614-855-1412
Practice Address - Fax:614-855-1412
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 249302163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice