| Doctor Name: | MS. TAMMY LYNN ANDERSON |
| NPI Number: | 1174502264 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, FNP-C |
| License Number: | 5130990 |
| Business Practice Address: | 8517 Coppersky Converse, TX - 78109 |
| Business Phone Number: | 2103928512 |
| Business Fax Number: | 2109454518 |
| Mailing Address: | 3851 Roger Brooke Dr, Brooke Army Medical Center / Mche-qd/credentials FORT SAM HOUSTON |
| State: | TX |
| Postal Code: | 782344501 |
| Phone Number: | 2103928512 |
| Fax Number: | 2102954215 |
| NPI Enumeration Date: | 01/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5130990 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |