Provider Demographics
NPI:1699070300
Name:MOTZENBECKER, TAMMY A (CNM)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:A
Last Name:MOTZENBECKER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:
Practice Address - Street 1:100 INDEPENDENCE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-1039
Practice Address - Country:US
Practice Address - Phone:856-341-8474
Practice Address - Fax:856-325-5003
Is Sole Proprietor?:No
Enumeration Date:2011-01-12
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25ME00049101367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife