| Tammy Lynn Undiemi, FNP-BC | |
|
810 Sixth Ave, Sandpoint, ID 83864-5396 | |
| (208) 263-3410 | |
| (208) 255-4842 |
| Full Name | Tammy Lynn Undiemi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 810 Sixth Ave, Sandpoint, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073178133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 73671 (Idaho) | Secondary |
| 363L00000X | Nurse Practitioner | 73671 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boundary Regional Community Health Center Inc | 2264341221 | 23 |
| Boundary Regional Community Health Center Inc | 2264341221 | 23 |
| Entity Name | College Drive Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467601765 PECOS PAC ID: 1456414788 Enrollment ID: O20090113000850 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Lynn Undiemi, FNP-BC 810 Sixth Ave, Sandpoint, ID 83864-5396 Ph: (208) 263-3410 | Tammy Lynn Undiemi, FNP-BC 810 Sixth Ave, Sandpoint, ID 83864-5396 Ph: (208) 263-3410 |
Ms. Ann L Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 N. Sixth Avenue, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214 | |
Erin Bass, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 N. Sixth Avenue, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214 | |
Kimberly Amelia Rutland, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Sixth Ave, Sandpoint, ID 83864 Phone: 208-265-6252 Fax: 208-265-8214 | |
Natasha M Splaine-talbott, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 N 3rd Ave Ste 203, Sandpoint, ID 83864 Phone: 304-276-9937 | |
Denise White, DNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 N Third Ave Ste 203, Sandpoint, ID 83864 Phone: 208-265-1046 Fax: 208-265-3756 | |
Anna Mena-schaures, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1013 Lake St Ste 102, Sandpoint, ID 83864 Phone: 208-597-7910 |