Provider Demographics
NPI:1265704654
Name:HANSEN, TAMMY LEE (PHLEBOTOMY CERT)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:LEE
Last Name:HANSEN
Suffix:
Gender:F
Credentials:PHLEBOTOMY CERT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 TILLER CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE EGG HARBOR TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08087-1526
Mailing Address - Country:US
Mailing Address - Phone:609-351-2900
Mailing Address - Fax:
Practice Address - Street 1:6 TILLER CT
Practice Address - Street 2:
Practice Address - City:LITTLE EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08087-1526
Practice Address - Country:US
Practice Address - Phone:609-351-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy