MEDICARE: TAMMY SUE HUNTER-HORTON FNP-BC

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	207QA0505X	Adult Medicine Physician	NFP95037771	CA

General Provider Information

NPI Number	:	1366373185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY SUE HUNTER-HORTON FNP-BC

Provider Business Mailing Address
First Line	:	21 TAMAL VISTA BLVD STE 110
Second Line	:
City	:	CORTE MADERA
State	:	CA
Zip	:	94925-1122
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 TAMAL VISTA BLVD STE 110
Second Line	:
City	:	CORTE MADERA
State	:	CA
Zip	:	94925-1122
Country	:	US
Telephone Number	:	415-924-5010
Fax Number	:

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

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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Directions to “ TAMMY SUE HUNTER-HORTON FNP-BC” Practice Location

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