Individual provider · Type 1 NPI

Laurel Tam, PNP

Pediatric Nurse Practitioner · Daly City, CA

NPI number 1801225511 Active

Practice location

333 Gellert Blvd, Suite 229
Daly City, CA 94015-2621

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X754225 (CA)
Pediatric Nurse Practitioner Primary 363LP0200X23354 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1801225511

Laurel Tam, PNP's National Provider Identifier is 1801225511, issued on Nov 3, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Daly City, CA. The record was last updated on Nov 3, 2013.