Provider Demographics
NPI:1922009133
Name:HAHN-BROWN, TAMMY RAE (CS ANP MSN RN)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:RAE
Last Name:HAHN-BROWN
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Gender:F
Credentials:CS ANP MSN RN
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Mailing Address - Street 1:PO BOX 801143
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-1143
Mailing Address - Country:US
Mailing Address - Phone:573-331-5583
Mailing Address - Fax:573-331-5079
Practice Address - Street 1:3004 GORDONVILLE RD
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-5008
Practice Address - Country:US
Practice Address - Phone:593-332-1972
Practice Address - Fax:573-334-4667
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2021-03-02
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Provider Licenses
StateLicense IDTaxonomies
MO134862363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000080822Medicare PIN
P17131Medicare UPIN