SALLY-ANN TAMIZUDDIN APRN NPI 1457099277

NPI Information

NPI: 1457099277
Provider Name: SALLY-ANN TAMIZUDDIN, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
2200 LAKE VICTORIA DR
SPRINGFIELD, IL
ZIP 62703
Phone: (217) 529-9266
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Sally-ann Tamizuddin, APRN is a psychiatric/mental health nurse practitioner in Springfield, IL. Sally-ann Tamizuddin, APRN NPI is 1457099277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2200 LAKE VICTORIA DR
SPRINGFIELD, IL
ZIP 62703-596
Phone: (217) 529-9266

The enumeration date for this NPI number is 5/23/2022 and was last updated on 5/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	041.413811	ILLINOIS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	209.025080	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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