Tammy Bireline, RN, ARNP, is board certified in family practice by the American Academy of Nurse Practitioners. . Tammy has cared for patients at Cass Health for more than 20 years and currently serves as Chief Clinic Administrator. Over the course of her career, she has had varied clinical experience in healthcare including Medical/Cardiac Intensive Care at Iowa Methodist Hospital, Emergency Department/Trauma Coordination at Lutheran Hospital-Des Moines and Cass Health, Cardiac Rehab, Wellness, Medical/Surgical, as well as Outpatient Clinics including chemotherapy and infusion services at Cass Health. She completed her advanced registered nurse practitioner (ARNP) training at Clarkson College in Omaha, Nebraska in 2014. She has also completed extensive training specific to emergency care, including ER fundamentals, boot camp and procedures courses.