Individual
TAMARA MCGILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4735 OGLETOWN STANTON RD, M.A.P. #2, SUITE 1116, NEWARK, DE 19713-2072
(302) 368-8612
(302) 368-8836
Mailing address
1103 MACBETH CT, BEL AIR, MD 21015-1573
(240) 812-2167
(302) 368-8836
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
LJ-0000312
DE
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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