Provider Demographics
NPI:1225287642
Name:SENN, TAMMY JOY (CNM)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:JOY
Last Name:SENN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:JOY
Other - Last Name:HURLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:9910 FRANKLIN SQUARE DR STE 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:
Practice Address - Street 1:10710 CHARTER DR STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3259
Practice Address - Country:US
Practice Address - Phone:410-997-0580
Practice Address - Fax:410-997-6019
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEMW010178367A00000X
PAMW010178367A00000X
MDR134698367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife