Provider Demographics
NPI:1295534196
Name:WEBER, TAMMIE LYNN (PROVIDER)
Entity type:Individual
Prefix:
First Name:TAMMIE
Middle Name:LYNN
Last Name:WEBER
Suffix:
Gender:F
Credentials:PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 M ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:NE
Mailing Address - Zip Code:68818-2139
Mailing Address - Country:US
Mailing Address - Phone:308-383-1959
Mailing Address - Fax:
Practice Address - Street 1:1420 M ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:NE
Practice Address - Zip Code:68818-2139
Practice Address - Country:US
Practice Address - Phone:308-383-1959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion