Provider Demographics
NPI:1609422690
Name:CHANEY, TAMMI JEAN (CNM, WHCNP)
Entity Type:Individual
Prefix:
First Name:TAMMI
Middle Name:JEAN
Last Name:CHANEY
Suffix:
Gender:F
Credentials:CNM, WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PLATTE
Mailing Address - State:SD
Mailing Address - Zip Code:57369-2115
Mailing Address - Country:US
Mailing Address - Phone:605-491-3661
Mailing Address - Fax:
Practice Address - Street 1:500 E 7TH ST
Practice Address - Street 2:
Practice Address - City:PLATTE
Practice Address - State:SD
Practice Address - Zip Code:57369-2115
Practice Address - Country:US
Practice Address - Phone:605-491-3661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCM000075176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife