| Doctor Name: | MS. TAMMERA L. NUTTER |
| NPI Number: | 1154674414 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 54077 |
| Business Practice Address: | Rr 3 Box 42b Clarksburg, WV - 263019523 |
| Business Phone Number: | 3046722555 |
| Business Fax Number: | |
| Mailing Address: | Rr 3 Box 42b, CLARKSBURG |
| State: | WV |
| Postal Code: | 263019523 |
| Phone Number: | 3046722555 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2012 |
| NPI Last Update Date: | 10/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 54077 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |