Provider Demographics
NPI:1407144405
Name:BROTHERS, TAMARA K (CNM)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:K
Last Name:BROTHERS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:
Other - Last Name:SCHERER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNM
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-538-1880
Mailing Address - Fax:
Practice Address - Street 1:245 CHARLOIS BLVD STE C
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1507
Practice Address - Country:US
Practice Address - Phone:336-718-6280
Practice Address - Fax:336-718-6289
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC446367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife