Provider Demographics
NPI:1659512580
Name:SCHLATTERER, TAMMY RENAY (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:RENAY
Last Name:SCHLATTERER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:
Other - Last Name:KIMBERLIN-SCHLATTERER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:603 7TH ST S STE 400
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4734
Mailing Address - Country:US
Mailing Address - Phone:727-893-6435
Mailing Address - Fax:727-893-6436
Practice Address - Street 1:603 7TH ST S STE 400
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4734
Practice Address - Country:US
Practice Address - Phone:727-893-6435
Practice Address - Fax:727-893-6436
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2623782363LF0000X
FLAPRN2623782363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily