Provider Demographics
NPI:1790269512
Name:BATTIN, TAMMY LOU (LVN)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:LOU
Last Name:BATTIN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 BLASSINGAME AVE APT 11
Mailing Address - Street 2:
Mailing Address - City:VAN ALSTYNE
Mailing Address - State:TX
Mailing Address - Zip Code:75495-9620
Mailing Address - Country:US
Mailing Address - Phone:972-571-7051
Mailing Address - Fax:
Practice Address - Street 1:633 BLASSINGAME AVE APT 11
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495-9620
Practice Address - Country:US
Practice Address - Phone:972-571-7051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX345194164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse