National Provider Identifier

Tammy Jo Divens, RN

Tammy Jo Divens, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Painted Post, NY and a listed phone number of (607) 936-4156.

NPI 1699337675Painted Post, NYRegistered Nurse

Profile Overview

NPI
1699337675
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
July 01, 2019
Last Updated
July 01, 2019

Practice Location

  • 3414 Stanton St
  • Painted Post, NY 14870-1507

Phone: (607) 936-4156

Mailing Address

  • 165 Charles St
  • Painted Post, NY 14870-1100

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1699337675
Entity Type
Individual
Last Name
Divens
First Name
Tammy
Middle Name
Jo
Credential
RN
Mailing Street Address
165 Charles St
Mailing City
Painted Post
Mailing State
NY
Mailing ZIP Code
14870-1100
Mailing Country
US
Mailing Phone
(607) 936-3704
Mailing Fax
(607) 654-2729
Practice Street Address
3414 Stanton St
Practice City
Painted Post
Practice State
NY
Practice ZIP Code
14870-1507
Practice Country
US
Practice Phone
(607) 936-4156
Enumeration Date
July 01, 2019
Last Updated
July 01, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)