| Doctor Name: | TAMMY M RONSTADT |
| NPI Number: | 1083999684 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP011567 |
| Business Practice Address: | 1000 Dutch Ridge Rd Credentialing Medical Staff Office Beaver, PA - 150099727 |
| Business Phone Number: | 7247734776 |
| Business Fax Number: | 7247734726 |
| Mailing Address: | 420 Rouser Rd, MOON TOWNSHIP |
| State: | PA |
| Postal Code: | 151083090 |
| Phone Number: | 4127496739 |
| Fax Number: | |
| NPI Enumeration Date: | 10/14/2011 |
| NPI Last Update Date: | 12/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP011567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |