Tammy Lynne Glidewell, RN is a
Registered Nurse based in Mullan, Idaho. Tammy Lynne Glidewell is licensed to practice in Washington (license number RN00114868) and her current practice location is
439 2nd Street, Mullan, Idaho. She can be reached at her office (for appointments etc.) via phone at
(509) 468-2542.
NPI number for Tammy Lynne Glidewell is 1154664365 and her current mailing address is Po Box 631, Mullan, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154664365.
Provider's Profile
| Full Name | Tammy Lynne Glidewell |
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| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 439 2nd Street, Mullan, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154664365
- Provider Enumeration Date: 04/05/2013
- Last Update Date: 01/14/2020
Medical Identifiers
Medical identifiers for Tammy Lynne Glidewell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154664365 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN00114868 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tammy Lynne Glidewell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tammy Lynne Glidewell, RN
Po Box 631,
Mullan, ID 83846-0631
Ph: (509) 468-2542 | Tammy Lynne Glidewell, RN
439 2nd Street,
Mullan, ID 83846
Ph: (509) 468-2542 |
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