Healthcare Provider Details

I. General information

NPI: 1184773699
Provider Name (Legal Business Name): TAMMY DENIESE ASKREN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAMMY DENIESE BARNETT RN

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1756 S LEWIS RD
CAMARILLO CA
93012-8520
US

IV. Provider business mailing address

3955 SANTA MONICA CT
NEWBURY PARK CA
91320-2800
US

V. Phone/Fax

Practice location:
  • Phone: 805-383-3669
  • Fax:
Mailing address:
  • Phone: 805-499-1791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN565432
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: