Provider Demographics
NPI:1902581341
Name:SHERMAN, TAMMY M
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:M
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3944 E HUBBARD RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-9749
Mailing Address - Country:US
Mailing Address - Phone:989-621-7434
Mailing Address - Fax:
Practice Address - Street 1:3944 E HUBBARD RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-9749
Practice Address - Country:US
Practice Address - Phone:989-621-7434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker