Provider Demographics
NPI:1396185658
Name:KURON, TAMMY M (NP)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:M
Last Name:KURON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5700 MONROE ST UNIT 207
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2735
Mailing Address - Country:US
Mailing Address - Phone:419-842-8150
Mailing Address - Fax:419-479-2579
Practice Address - Street 1:5700 MONROE ST UNIT 207
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2735
Practice Address - Country:US
Practice Address - Phone:419-842-8150
Practice Address - Fax:419-479-2579
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHRN276108363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner