Provider Demographics
NPI:1255171716
Name:PIERCE, TAMMIE (LPN)
Entity type:Individual
Prefix:
First Name:TAMMIE
Middle Name:
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:
Other - Last Name:LAMB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:209 UNIVERSITY AVE E
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-2448
Mailing Address - Country:US
Mailing Address - Phone:307-253-9230
Mailing Address - Fax:
Practice Address - Street 1:209 UNIVERSITY AVE E
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-2448
Practice Address - Country:US
Practice Address - Phone:701-509-1710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant