Individual provider · Type 1 NPI

Tammy Sue Walrath, PA

Medical Physician Assistant · Ithaca, NY

NPI number 1891261228 Active

Practice location

201 Dates Dr
Ithaca, NY 14850-1345

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X022900 (NY)
Medical Physician Assistant Primary 363AM0700X022900 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1891261228

Tammy Sue Walrath, PA's National Provider Identifier is 1891261228, issued on Oct 24, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ithaca, NY. The record was last updated on Jan 13, 2021.