Individual provider · Type 1 NPI
Amy L. Tatham, PMHNP, BC
Psychiatric/Mental Health Nurse Practitioner · Marlton, NJ
NPI number
1447896725
Active
Practice location
525 Route 73 North Ste 104
Marlton, NJ 08053-3008
Fax (630) 882-0553
Mailing address
20 Pebble Lane
North East, MD 21901-3502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC002993 (MD) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ00969700 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1447896725
Amy L. Tatham, PMHNP, BC's National Provider Identifier is 1447896725, issued on Nov 21, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Marlton, NJ. The record was last updated on May 7, 2023.