Provider Demographics
NPI:1952552143
Name:MCCURRY, TAMARA LYNETTE (LVN)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:LYNETTE
Last Name:MCCURRY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41056 ALDER AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92544-6271
Mailing Address - Country:US
Mailing Address - Phone:951-925-7898
Mailing Address - Fax:
Practice Address - Street 1:41056 ALDER AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-6271
Practice Address - Country:US
Practice Address - Phone:951-925-7898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN229266164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse