Provider Demographics
NPI:1962658872
Name:HOPPEL, TAMMY K (RN)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:K
Last Name:HOPPEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 W MARKET ST
Mailing Address - Street 2:K-22
Mailing Address - City:ORRVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44667-1308
Mailing Address - Country:US
Mailing Address - Phone:814-341-7493
Mailing Address - Fax:
Practice Address - Street 1:1825 W MARKET ST
Practice Address - Street 2:K-22
Practice Address - City:ORRVILLE
Practice Address - State:OH
Practice Address - Zip Code:44667-1308
Practice Address - Country:US
Practice Address - Phone:814-341-7493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN340161163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse