| Doctor Name: | TAMMI NOONAN |
| NPI Number: | 1740657287 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP |
| License Number: | A108392 |
| Business Practice Address: | 200 Main St Guttenberg, IA - 520529108 |
| Business Phone Number: | 5632522141 |
| Business Fax Number: | 5632529013 |
| Mailing Address: | Po Box 550, 200 Main St GUTTENBERG |
| State: | IA |
| Postal Code: | 520520550 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2015 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A108392 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |