Provider Demographics
NPI:1942442595
Name:ALPUERTO, TAMMY O'NEILL (RN)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:O'NEILL
Last Name:ALPUERTO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9058 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:13030-9662
Mailing Address - Country:US
Mailing Address - Phone:315-569-0634
Mailing Address - Fax:
Practice Address - Street 1:9058 NORTH RD
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:NY
Practice Address - Zip Code:13030-9662
Practice Address - Country:US
Practice Address - Phone:315-633-1231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-28
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY430809-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse