Provider Demographics
NPI:1083978399
Name:PYRON, TAMMY C (NP)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:C
Last Name:PYRON
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:3621 SOUTH STATE STREET
Mailing Address - Street 2:700 KMS PLACE
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:734-936-2047
Mailing Address - Fax:
Practice Address - Street 1:1500 EAST MEDICAL CENTER DR
Practice Address - Street 2:11TH FLOOR C.S. MOTT CHILDRENS HOSPITAL
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-4204
Practice Address - Country:US
Practice Address - Phone:734-936-4978
Practice Address - Fax:734-936-5031
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
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Provider Licenses
StateLicense IDTaxonomies
MI4704174573363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner