Individual provider · Type 1 NPI

Tammy Fusilier, CRNP

Gerontology Nurse Practitioner · Waldorf, MD

NPI number 1366096034 Active

Practice location

173 Saint Patricks Dr Ste 104
Waldorf, MD 20603-5530

Fax (949) 695-4106

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XR215486 (MD)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1366096034

Tammy Fusilier, CRNP's National Provider Identifier is 1366096034, issued on Jul 30, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Waldorf, MD. The record was last updated on Apr 15, 2024.