Provider Demographics
NPI:1992594584
Name:WEST, TAMMY LANEY
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:LANEY
Last Name:WEST
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 BRUNNER ST NW
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-2719
Mailing Address - Country:US
Mailing Address - Phone:256-565-1878
Mailing Address - Fax:
Practice Address - Street 1:1501 BRUNNER ST NW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-2719
Practice Address - Country:US
Practice Address - Phone:256-565-1878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider