Tammy Hawthorn, RN
Individual provider Active NPI Registered Nurse · Winchester, OH
NPI 1679944045 · NPPES record last updated Oct 12, 2015
Key facts
- NPI
- 1679944045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 382965 (OH)
- Practice address
- 10 Graces Run Road
Winchester, OH 45697 - Phone
- (937) 205-7738
- NPI assigned
- Oct 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 382965 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 382965 | OH | Yes |
Addresses
Primary practice location
10 Graces Run Road
Winchester, OH 45697
Mailing address
PO Box 28
Winchester, OH 45697-0028
Other providers in Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.