Provider Demographics
NPI:1811400633
Name:TAMI MOBERG
Entity Type:Organization
Organization Name:TAMI MOBERG
Other - Org Name:TAMIS TRAINING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MOBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:425-343-7500
Mailing Address - Street 1:253 HODIS LN
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-8604
Mailing Address - Country:US
Mailing Address - Phone:425-343-7500
Mailing Address - Fax:
Practice Address - Street 1:253 HODIS LN
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-8604
Practice Address - Country:US
Practice Address - Phone:425-343-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty