Doctor Name: | TAMARIE WHEAT |
NPI Number: | 1164893582 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R192257 |
Business Practice Address: | 5801 Allentown Rd Suite 202 Camp Springs, MD - 207464563 |
Business Phone Number: | 3018990373 |
Business Fax Number: | 3018990375 |
Mailing Address: | 5801 Allentown Rd, Suite 202 CAMP SPRINGS |
State: | MD |
Postal Code: | 207464563 |
Phone Number: | 3018990373 |
Fax Number: | 3018990375 |
NPI Enumeration Date: | 10/12/2015 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R192257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |