MEDICARE: MRS. TAMMY ERVIN PIPES NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	04302	LA

General Provider Information

NPI Number	:	1043479496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMMY ERVIN PIPES NP-C

Provider Business Mailing Address
First Line	:	4045 SCENIC HWY
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70805-4860
Country	:	US
Telephone Number	:	225-977-1374
Fax Number	:	225-977-8307

Provider Business Practice Location Address
First Line	:	4045 SCENIC HWY
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70805-4860
Country	:	US
Telephone Number	:	225-977-1374
Fax Number	:	225-977-8307

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	06/02/2008

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