Individual provider · Type 1 NPI
Tammy Michelle Prater, RN
Gerontology Registered Nurse · Downers Grove, IL
NPI number
1497429575
Active
Practice location
3450 Saratoga Ave
Downers Grove, IL 60515-1141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse Primary | 163WG0600X | 041306578 (IL) |
Gerontology Registered Nurse: Definition to come...
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About NPI 1497429575
Tammy Michelle Prater, RN's National Provider Identifier is 1497429575, issued on Aug 3, 2021. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Downers Grove, IL. The record was last updated on Aug 3, 2021.