Individual
ELIZABETH BAKER TUMALIUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203
(803) 256-6511
(803) 744-4731
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
21837
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
21837
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5503
—
SC
Enumeration date
09/12/2018
Last updated
06/30/2021
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