Healthcare Provider Details

I. General information

NPI: 1710892799
Provider Name (Legal Business Name): TAMMY LYN CONNORS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3403 MONROE ST
TOLEDO OH
43606-4140
US

IV. Provider business mailing address

6653 MCKINNEY RANCH PKWY APT 8309
MCKINNEY TX
75070-2219
US

V. Phone/Fax

Practice location:
  • Phone: 419-574-5252
  • Fax:
Mailing address:
  • Phone: 419-346-0930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: