Basic Information
| Provider Information | |||||||||
| NPI: | 1164750535 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HEWITT TAMBEAU | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 829 N OUTER DR | ||||||||
| Address2: | |||||||||
| City: | MORRISTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4239261171 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 908 W 4TH NORTH ST | ||||||||
| Address2: | |||||||||
| City: | MORRISTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4239261171 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/24/2009 | ||||||||
| LastUpdateDate: | 11/24/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WA0400X | 2834882 | FL | N | Nursing Service Providers | Registered Nurse | Addiction (Substance Use Disorder) | 163WC3500X | 2834882 | FL | N | Nursing Service Providers | Registered Nurse | Cardiac Rehabilitation | 163WH0200X | 2834882 | FL | N | Nursing Service Providers | Registered Nurse | Home Health | 163WC0400X | 28344882 | FL | N | Nursing Service Providers | Registered Nurse | Case Management | 163WH1000X | 2834882 | FL | N | Nursing Service Providers | Registered Nurse | Hospice | 163WP0000X | 2834882 | FL | N | Nursing Service Providers | Registered Nurse | Pain Management | 163WR0400X | 2834882 | FL | N | Nursing Service Providers | Registered Nurse | Rehabilitation | 163W00000X | RN 2834882 | FL | Y | Nursing Service Providers | Registered Nurse | 163WM0705X | 0000152090 | TN | N | Nursing Service Providers | Registered Nurse | Medical-Surgical | 163WX0800X | 0000152090 | TN | N | Nursing Service Providers | Registered Nurse | Orthopedic |
No ID Information.