Provider Demographics
NPI:1073353124
Name:WEBB, TAMMY BELLE
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:BELLE
Last Name:WEBB
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 1:1665 VAN BUREN AVE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-1949
Mailing Address - Country:US
Mailing Address - Phone:330-716-8765
Mailing Address - Fax:
Practice Address - Street 1:1665 VAN BUREN AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-1949
Practice Address - Country:US
Practice Address - Phone:330-716-8765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker