Active NPIIndividual providerSole proprietor

Laryssa E Tallman, PA-C

Physician Assistant in Pennington, New Jersey

NPI Number1477077402
Practice location
1 Capital Way, Pennington, NJ 08534-2520
Fax
—
Last updated
August 29, 2019

Laryssa Erica Tallman is a Physician Assistant based in Pennington, NJ. Laryssa Erica Tallman practices in Pennington, NJ and has the professional credentials of PA-C. The NPI Number for Laryssa Erica Tallman is 1477077402 and holds a License No. 25MP00443900 (NJ). The current practice location address for Laryssa Erica Tallman is 1 Capital Way, Pennington, NJ 08534-2520 and can be reached out via phone at 609-303-4000.

Provider Profile Details

NPI Number
1477077402
Provider Name
Laryssa Erica Tallman
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1 Capital Way, Pennington, NJ 08534-2520
Phone Number
609-303-4000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Other Names
Laryssa Erica Llanio, PA-C (Former Name)
Provider Enumeration Date
August 1, 2017
Last Update Date
August 29, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Capital Way
Pennington, NJ 08534-2520
Zip
08534-2520
Phone Number
609-303-4000
Pennington, NJ 08534Get directions →

Provider Business Mailing Address Details

Address
1 Capital Way
Pennington, NJ 08534-2520
City
Pennington
State
NJ
Zip
08534-2520
Phone Number
609-303-4000

License Information

License Number
25MP00443900
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Laryssa E Tallman, PA-C?

The NPI number of Laryssa E Tallman, PA-C is 1477077402. It was assigned on August 1, 2017 and is currently active in the NPPES registry.

What is the specialty of Laryssa E Tallman, PA-C?

Laryssa E Tallman, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00443900.

Where does Laryssa E Tallman, PA-C practice?

The practice location is 1 Capital Way, Pennington, NJ 08534-2520. The office can be reached at 609-303-4000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477077402 directly on the NPPES registry website.

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