Moreland, Tamara L
Moreland, Tamara L is an individual health care provider with primary practice located at 63 Thomas Johnson Dr , Frederick MD 21702-4384. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moreland, Tamara L can be contacted via phone (301) 694-7600.Contact Information
Primary practice address
63 Thomas Johnson Dr
Frederick MD 21702-4384
Phone: (301) 694-7600
Fax: (301) 228-2500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R112045 | Maryland |
Profile Details
| NPI number | 1912051251 |
|---|---|
| LBN Legal business name | Moreland, Tamara L |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Aug 2nd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912051251 | NPPES |
| Maryland | MEDICAID | 926580505 | |
| Maryland | MEDICAID | 926580507 |
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