Provider Demographics
NPI:1871854638
Name:DYE, TAMMY ROWLAND (RN, APRN, FNP)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:ROWLAND
Last Name:DYE
Suffix:
Gender:F
Credentials:RN, APRN, FNP
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:MARIE
Other - Last Name:BASSETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP, MSN
Mailing Address - Street 1:101 YACHT CLUB DR
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32084-2196
Mailing Address - Country:US
Mailing Address - Phone:904-217-4550
Mailing Address - Fax:904-907-2113
Practice Address - Street 1:101 YACHT CLUB DR
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-2196
Practice Address - Country:US
Practice Address - Phone:904-217-4550
Practice Address - Fax:904-907-2113
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN215760163WH0200X, 163W00000X
FL11024428363LF0000X
FL9547295163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice