Provider Demographics
NPI:1538907274
Name:SIDNEY, TAMARA LYNN
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:LYNN
Last Name:SIDNEY
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 1:1825 DAISYFIELD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-5549
Mailing Address - Country:US
Mailing Address - Phone:614-735-0564
Mailing Address - Fax:
Practice Address - Street 1:1825 DAISYFIELD DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-5549
Practice Address - Country:US
Practice Address - Phone:614-735-0564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula