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Miss Tammy Lyvonne Cooper, APN-C
Adult Health Nurse Practitioner in Germantown, Maryland
NPI 1720109846

Tammy Lyvonne Cooper is an Adult Health Nurse Practitioner based in Germantown, MD and is specialized in Adult Health. Tammy Lyvonne Cooper practices in Germantown, MD and has the professional credentials of APN-C. The NPI Number for Tammy Lyvonne Cooper is 1720109846 and holds a License No. 26NJ00372800 (Maryland).

The current practice location address for Tammy Lyvonne Cooper is 12522 Great Park Cir #303, Germantown, MD and can be reached out via phone at 240-301-4866.

Location: 12522 Great Park Cir #303, Germantown, MD, 20875-2718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720109846
Provider Name
Tammy Lyvonne Cooper
Credential
APN-C
Provider Entity Type
Individual
Gender
Female
Address
12522 Great Park Cir #303, Germantown, MD, 20875-2718
Phone Number
240-301-4866
Fax Number
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0325279 05 NJ
institution
Provider Business Practice Location Address Details
Address
12522 Great Park Cir #303
City
Germantown
State
Maryland
Zip
20876
Phone Number
240-301-4866
Fax Number
person
Provider Business Mailing Address Details
Address
12522 Great Park Cir #303
City
Germantown
State
Maryland
Zip
20876
Phone Number
240-301-4866
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
163WM0705X
License No.
26NR11441600 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
26NR11441600 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
26NJ00372800 (New Jersey)
Definition
Definition to come...
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