Provider Demographics
NPI:1255633665
Name:SEARS-LANGEVIN, TAMMY L (APRN,NNP-BC,CPNP)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:L
Last Name:SEARS-LANGEVIN
Suffix:
Gender:F
Credentials:APRN,NNP-BC,CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 CAREW ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2396
Mailing Address - Country:US
Mailing Address - Phone:413-787-2306
Mailing Address - Fax:413-787-2012
Practice Address - Street 1:516 CAREW ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2396
Practice Address - Country:US
Practice Address - Phone:413-787-2306
Practice Address - Fax:413-787-2012
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA211300363LN0000X, 363LP2300X
CT2265363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care