Individual provider · Type 1 NPI

Tammy L. Prout, NP

Family Nurse Practitioner · Port Huron, MI

NPI number 1356424758 Active

Practice location

1221 Pine Grove Ave, Emergency Department
Port Huron, MI 48060-3511

Fax (810) 985-2671

Mailing address

10601 4th St NW
Albuquerque, NM 87114-2407

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704173662 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1356424758

Tammy L. Prout, NP's National Provider Identifier is 1356424758, issued on Oct 23, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Huron, MI. The record was last updated on Aug 15, 2017.