Individual provider · Type 1 NPI

Miyako Tamada

Family Nurse Practitioner · Philadelphia, PA

NPI number 1861154403 Active

Practice location

7515 Stenton Ave
Philadelphia, PA 19150-3710

Mailing address

513 Patricia Dr
Glenside, PA 19038-2824

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP023521 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1861154403

Miyako Tamada's National Provider Identifier is 1861154403, issued on Oct 11, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 11, 2021.