Provider Demographics
NPI:1154397487
Name:HUEY, TAMMY LYNN (CRNP)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:LYNN
Last Name:HUEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1339 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-1528
Mailing Address - Country:US
Mailing Address - Phone:814-437-7891
Mailing Address - Fax:814-432-7714
Practice Address - Street 1:1339 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-1528
Practice Address - Country:US
Practice Address - Phone:814-437-7891
Practice Address - Fax:814-432-7714
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008770363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA097302JT3Medicare PIN