| Doctor Name: | MS. TAMMY LAVERNE WARREN |
| NPI Number: | 1093799801 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN14-93010-101 |
| Business Practice Address: | 550 Pope Ave Munson Army Health Center Fort Leavenworth, KS - 660272332 |
| Business Phone Number: | 9136846682 |
| Business Fax Number: | 9136846128 |
| Mailing Address: | 550 Pope Ave, Munson Army Health Center FORT LEAVENWORTH |
| State: | KS |
| Postal Code: | 660272332 |
| Phone Number: | 9136846682 |
| Fax Number: | 9136846128 |
| NPI Enumeration Date: | 12/05/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | RN14-93010-101 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |