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Individual
TOMARRA M DALTON
Active
Individual
TOMARRA M DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP009672
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1569554
GATEWAY-WMG
PA
01
—
2013604
HIGHMARK BS FREEDOM BLUE
PA
01
—
210533
JOHNS HOPKINS
PA
01
—
50074901
CAPITAL BLUE CROSS-WMG
PA
01
—
918403
CAREFIRST MD BCBS
MD
Enumeration date
12/26/2007
Last updated
07/13/2026
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