Provider Demographics
NPI:1043479496
Name:PIPES, TAMMY ERVIN (NP-C)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:ERVIN
Last Name:PIPES
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 SCENIC HWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70805-4860
Mailing Address - Country:US
Mailing Address - Phone:225-977-1374
Mailing Address - Fax:225-977-8307
Practice Address - Street 1:4045 SCENIC HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-4860
Practice Address - Country:US
Practice Address - Phone:225-977-1374
Practice Address - Fax:225-977-8307
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA04302363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health