Healthcare Provider Details

I. General information

NPI: 1467694554
Provider Name (Legal Business Name): TAMMECHIEN J MCDONALD-BROUWER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2009
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 B UNIVERSITY BLVD
HARRISONBURG VA
22801
US

IV. Provider business mailing address

119 UNIVERSITY BLVD STE B
HARRISONBURG VA
22801-3753
US

V. Phone/Fax

Practice location:
  • Phone: 540-575-5245
  • Fax: 540-217-2467
Mailing address:
  • Phone: 540-575-5245
  • Fax: 540-217-2467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0024168315
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: