person
Tammy L Gannaway, FNP
Family Nurse Practitioner in Lewiston, Maine
NPI 1376872606

Tammy L Gannaway is a Family Nurse Practitioner based in Waterville, ME and is specialized in Family. Tammy L Gannaway practices in Lewiston, ME and has the professional credentials of FNP. The NPI Number for Tammy L Gannaway is 1376872606 and holds a License No. APRN001615 (Maine).

The current practice location address for Tammy L Gannaway is 37 Park St, Lewiston, ME and can be reached out via phone at 207-333-1080 and via fax at 207-777-4649.

Location: 37 Park St, Lewiston, ME, 04903-2621
person
Provider Profile Details
NPI Number
1376872606
Provider Name
Tammy L Gannaway
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
37 Park St, Lewiston, ME, 04903-2621
Phone Number
207-333-1080
Fax Number
207-777-4649
Provider Enumeration Date
12/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APRN001615 01 NV NV APRN
CNP91069 01 ME ME APRN
435223099 05 ME
1475901 01 ME MEDICARE B
institution
Provider Business Practice Location Address Details
Address
37 Park St
City
State
Zip
04240-7195
Phone Number
207-333-1080
Fax Number
207-777-4649
person
Provider Business Mailing Address Details
Address
37 Park St
City
State
Zip
04240-7195
Phone Number
207-333-1080
Fax Number
207-777-4649
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APRN001615 (Nevada)
Definition
Definition to come...
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