Provider Demographics
NPI:1245531169
Name:TRAMMELL, EMMY H (LM, CPM)
Entity type:Individual
Prefix:
First Name:EMMY
Middle Name:H
Last Name:TRAMMELL
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 W PINE ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454-3347
Mailing Address - Country:US
Mailing Address - Phone:985-974-2724
Mailing Address - Fax:
Practice Address - Street 1:145 W PINE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-3347
Practice Address - Country:US
Practice Address - Phone:985-974-2724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMDW0405176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife