Provider Demographics
NPI:1437983582
Name:SWARM, TAMMY LEE (CRNPPE)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:LEE
Last Name:SWARM
Suffix:
Gender:F
Credentials:CRNPPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14505 AKAM RD
Mailing Address - Street 2:
Mailing Address - City:CORRY
Mailing Address - State:PA
Mailing Address - Zip Code:16407-9638
Mailing Address - Country:US
Mailing Address - Phone:814-462-6772
Mailing Address - Fax:
Practice Address - Street 1:3822 COLONIAL AVE
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-3826
Practice Address - Country:US
Practice Address - Phone:814-833-5653
Practice Address - Fax:814-835-1153
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029847363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner