Provider Demographics
NPI:1952586257
Name:HAMBY, TAMMI SUE
Entity Type:Individual
Prefix:MRS
First Name:TAMMI
Middle Name:SUE
Last Name:HAMBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8330 W COUNTY ROAD 450 S
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:IN
Mailing Address - Zip Code:47384-9691
Mailing Address - Country:US
Mailing Address - Phone:765-524-5355
Mailing Address - Fax:765-737-6172
Practice Address - Street 1:8330 W COUNTY ROAD 450 S
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:IN
Practice Address - Zip Code:47384-9691
Practice Address - Country:US
Practice Address - Phone:765-524-5355
Practice Address - Fax:765-737-6172
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion