Provider Demographics
NPI:1669619136
Name:LOW, TAMMY D (RN)
Entity type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:D
Last Name:LOW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:TAMMY
Other - Middle Name:D
Other - Last Name:SAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3003 N CENTRAL AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2902
Mailing Address - Country:US
Mailing Address - Phone:602-952-3400
Mailing Address - Fax:602-952-3401
Practice Address - Street 1:8836 N 23RD AVE
Practice Address - Street 2:SUITE B-1
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-4185
Practice Address - Country:US
Practice Address - Phone:602-952-3400
Practice Address - Fax:602-952-3400
Is Sole Proprietor?:No
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN055279163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health