Individual
TAMMY S WALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
145 E CARROLL ST, SALISBURY, MD 21801
(302) 539-1026
Mailing address
100 E CARROLL ST, ATTN: PRMG, SALISBURY, MD 21801-5422
(410) 543-7531
(410) 912-6386
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LG-0000356
DE
363L00000X
Nurse Practitioner
Primary
R110410
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000036982
—
DE
01
—
1184832040
GROUP NPI
MD
01
—
409710600
MEDICAID MARYLAND
MD
Enumeration date
07/19/2005
Last updated
08/27/2018
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