Provider Demographics
NPI:1639554231
Name:HEY, TAMMY SUE (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:SUE
Last Name:HEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:TAMMY
Other - Middle Name:SUE
Other - Last Name:BUCKINGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:24 STRICKLAND RD
Mailing Address - Street 2:
Mailing Address - City:CANAAN
Mailing Address - State:ME
Mailing Address - Zip Code:04924-3036
Mailing Address - Country:US
Mailing Address - Phone:207-431-0342
Mailing Address - Fax:
Practice Address - Street 1:23 CEDAR RIDGE DR
Practice Address - Street 2:
Practice Address - City:SKOWHEGAN
Practice Address - State:ME
Practice Address - Zip Code:04976-4160
Practice Address - Country:US
Practice Address - Phone:207-474-9686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-23
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP151037363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily