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Individual

TAMMY FUSILIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
173 SAINT PATRICKS DR STE 104, WALDORF, MD 20603-5530
(240) 729-6250
(949) 695-4106
Mailing address
173 SAINT PATRICKS DR STE 104, WALDORF, MD 20603-5530
(240) 729-6250
(949) 695-4106

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R215486
MD

Other

Enumeration date
07/30/2019
Last updated
04/15/2024
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