Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 117 | AZ |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 117 | AZ |
NPI | 1306911086 |
---|---|
Provider Name | Tammy Caroline Skinner |
First Address | Tucson, AZ 85710-1459 |
Second Address | Tucson, AZ 85711-2602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 03/06/2013 |