Provider Demographics
NPI:1467694554
Name:MCDONALD-BROUWER, TAMMECHIEN J (CNM)
Entity Type:Individual
Prefix:
First Name:TAMMECHIEN
Middle Name:J
Last Name:MCDONALD-BROUWER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 UNIVERSITY BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3753
Mailing Address - Country:US
Mailing Address - Phone:540-575-5245
Mailing Address - Fax:540-217-2467
Practice Address - Street 1:119 B UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801
Practice Address - Country:US
Practice Address - Phone:540-575-5245
Practice Address - Fax:540-217-2467
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168315363LW0102X
367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health