Provider Demographics
NPI:1649768102
Name:KOST, TAMMY MERRIMAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:MERRIMAN
Last Name:KOST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:TAMMY
Other - Middle Name:LYNN
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5720 COLD LAKE DR
Mailing Address - Street 2:
Mailing Address - City:WELCOME
Mailing Address - State:MD
Mailing Address - Zip Code:20693-3220
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4545 CRAIN HWY
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3045
Practice Address - Country:US
Practice Address - Phone:301-609-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR180842163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse