Individual provider · Type 1 NPI
Terry Tallman, CRNP PEDIATRIC
Pediatric Nurse Practitioner · Somerset, PA
NPI number
1831271584
Active
Practice location
126 East Church Street, Suite 2300
Somerset, PA 15501
Fax (814) 443-1789
Mailing address
329 S Pleasant Avenue
Somerset, PA 15501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | TP003415D (PA) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1831271584
Terry Tallman, CRNP PEDIATRIC's National Provider Identifier is 1831271584, issued on Oct 20, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Somerset, PA. The record was last updated on Jun 25, 2008.