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Tammy Fusilier
Gerontology Nurse Practitioner in Waldorf, Maryland
NPI 1366096034

Tammy Fusilier is a Gerontology Nurse Practitioner based in Waldorf, MD and is specialized in Gerontology. Tammy Fusilier practices in Waldorf, MD. The NPI Number for Tammy Fusilier is 1366096034 and holds a License No. R215486 (Maryland).

The current practice location address for Tammy Fusilier is 3460 Old Washington Rd Ste 203A, Waldorf, MD and can be reached out via phone at 301-638-0602.

Location: 3460 Old Washington Rd Ste 203A, Waldorf, MD, 20602-3243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366096034
Provider Name
Tammy Fusilier
Credential
Provider Entity Type
Individual
Gender
Female
Address
3460 Old Washington Rd Ste 203A, Waldorf, MD, 20602-3243
Phone Number
301-638-0602
Fax Number
Provider Enumeration Date
07/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3460 Old Washington Rd Ste 203A
City
Waldorf
State
Maryland
Zip
20602-3243
Phone Number
301-638-0602
Fax Number
person
Provider Business Mailing Address Details
Address
3460 Old Washington Rd Ste 203A
City
Waldorf
State
Maryland
Zip
20602-3243
Phone Number
301-638-0602
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
R215486 (Maryland)
Definition
Definition to come...
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