Smith, Tammy R

Smith, Tammy R is an individual health care provider with primary practice located at 211 Sunset Dr , Beckley WV 25801-2825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Tammy R can be contacted via phone (304) 469-2905.

Contact Information

Primary practice address
211 Sunset Dr Beckley WV 25801-2825
Fax: (304) 465-5486
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 56022 West Virginia

Profile Details

NPI number 1548254097
LBN Legal business name Smith, Tammy R
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Mar 19th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548254097 NPPES
West Virginia MEDICAID 3810000221

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