Doctor Name: | MRS. CONNIE TALLMAN |
NPI Number: | 1457333585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 146021 |
Business Practice Address: | 550 Pope Ave Munson Army Health Center (attn):mcxn-cod, Ms. Cotton Fort Leavenworth, KS - 660272332 |
Business Phone Number: | 9136846562 |
Business Fax Number: | 9136846208 |
Mailing Address: | 550 Pope Ave, Munson Army Health Center (attn):mcxn-cod, Ms. Cotton FORT LEAVENWORTH |
State: | KS |
Postal Code: | 660272332 |
Phone Number: | 9136846562 |
Fax Number: | 9136846208 |
NPI Enumeration Date: | 11/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | 146021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |