Healthcare Provider Details

I. General information

NPI: 1225287642
Provider Name (Legal Business Name): TAMMY JOY SENN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAMMY JOY HURLEY CNM

II. Dates (important events)

Enumeration Date: 09/10/2008
Last Update Date: 03/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10710 CHARTER DR STE 200
COLUMBIA MD
21044-3259
US

IV. Provider business mailing address

9910 FRANKLIN SQUARE DR STE 2110
BALTIMORE MD
21236-4902
US

V. Phone/Fax

Practice location:
  • Phone: 410-997-0580
  • Fax: 410-997-6019
Mailing address:
  • Phone: 410-933-6423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010178
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010178
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberR134698
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: