1639554231 NPI number — MS. TAMMY SUE HEY FNP-C

Table of content: MS. TAMMY SUE HEY FNP-C (NPI 1639554231)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639554231 NPI number — MS. TAMMY SUE HEY FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HEY
Provider First Name:
TAMMY
Provider Middle Name:
SUE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BUCKINGHAM
Provider Other First Name:
TAMMY
Provider Other Middle Name:
SUE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
FNP-C
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1639554231
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/09/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24 STRICKLAND RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CANAAN
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04924-3036
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-431-0342
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23 CEDAR RIDGE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SKOWHEGAN
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04976-4160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-474-9686
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/23/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  CNP151037 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)