Provider Demographics
NPI:1407611528
Name:WARRIOR, TAMMY ANNE (LPN)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:ANNE
Last Name:WARRIOR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 S EUCHEE VLY
Mailing Address - Street 2:
Mailing Address - City:CUSHING
Mailing Address - State:OK
Mailing Address - Zip Code:74023-3063
Mailing Address - Country:US
Mailing Address - Phone:918-285-6214
Mailing Address - Fax:
Practice Address - Street 1:312 S EUCHEE VLY
Practice Address - Street 2:
Practice Address - City:CUSHING
Practice Address - State:OK
Practice Address - Zip Code:74023-3063
Practice Address - Country:US
Practice Address - Phone:918-285-6214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKL0044380164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse