Individual provider · Type 1 NPI

William Dale Tallmadge, ACNP

Acute Care Nurse Practitioner · Tyler, TX

NPI number 1912080813 Active

Practice location

11937 US Highway 271
Tyler, TX 75708-3154

Mailing address

PO Box 731912
Dallas, TX 75373-1912

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X664571 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1912080813

William Dale Tallmadge, ACNP's National Provider Identifier is 1912080813, issued on Oct 23, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Tyler, TX. The record was last updated on Sep 19, 2016.