TAMMY L GANNAWAY FNP
NPI 1376872606
Nurse Practitioner - Family in Lewiston, ME

Active since December 16, 2009
37 PARK ST, LEWISTON, ME 04240(207) 333-1080(207) 777-4649 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 10, 2023, Dec 30, 2022, Sep 26, 2019 (3 updates tracked since 2019).

About Tammy L Gannaway Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMMY L GANNAWAY FNP (NPI 1376872606) is an individual family provider in Lewiston, Maine, licensed in Maine (CNP91069) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1376872606
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMMY L GANNAWAYCredential: FNP
Location Address37 PARK STLewiston, ME 04240-7195
Mailing AddressPo Box 2621Waterville, ME 04903-2621 · (207) 272-0638
Fax(207) 777-4649
Sole ProprietorNo
Enumeration DateDecember 16, 2009
Last NPPES UpdateJanuary 10, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
NPI 1376872606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in ME · CNP91069 Licensed in NV · APRN001615
37 PARK ST, Lewiston, ME 04240

Other Identifiers 4

OtherAPRN001615NV · Nv Aprn
OtherCNP91069ME · Me Aprn
Medicaid435223099ME
Other1475901ME · Medicare B

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
37 PARK ST, 405
LEWISTON, ME 04240
Social Worker (Clinical)
37 PARK ST
LEWISTON, ME 04240
Counselor (Professional)
37 PARK ST
LEWISTON, ME 04240
Social Worker (Clinical)
37 PARK ST
LEWISTON, ME 04240
Counselor (Addiction (Substance Use Disorder))
37 PARK ST
LEWISTON, ME 04240
Counselor (Addiction (Substance Use Disorder))
37 PARK ST
LEWISTON, ME 04240

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376872606, enumerated as an "individual" on December 16, 2009.

The provider is located at 37 PARK ST LEWISTON, ME 04240 and the phone number is (207) 333-1080.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.