Provider Demographics
NPI:1861611758
Name:MIHALY, TAMMIE ANNETTE (RN)
Entity type:Individual
Prefix:MRS
First Name:TAMMIE
Middle Name:ANNETTE
Last Name:MIHALY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 W SPRING ST
Mailing Address - Street 2:LEVEL 21
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-2241
Mailing Address - Country:US
Mailing Address - Phone:614-728-5726
Mailing Address - Fax:614-621-1057
Practice Address - Street 1:30 W SPRING ST
Practice Address - Street 2:LEVEL 21
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-2241
Practice Address - Country:US
Practice Address - Phone:614-728-5726
Practice Address - Fax:614-621-1057
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH243668163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse