Provider Demographics
NPI:1548861016
Name:WORD, TAMMY LYNN (APRN)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:LYNN
Last Name:WORD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:522 E HOWARD ST STE 85
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-1905
Mailing Address - Country:US
Mailing Address - Phone:218-440-1910
Mailing Address - Fax:218-440-1909
Practice Address - Street 1:522 E HOWARD ST STE 85
Practice Address - Street 2:
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-1905
Practice Address - Country:US
Practice Address - Phone:218-440-1910
Practice Address - Fax:218-440-1909
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN1890769163W00000X
MN7939363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse