Individual provider · Type 1 NPI

Tracy Diane Tullier, PA-C

Medical Physician Assistant · Glen Burnie, MD

NPI number 1972939692 Active

Practice location

6934 Aviation Blvd, Suite B
Glen Burnie, MD 21061-2593

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0005195 (MD)

Medical Physician Assistant: Definition to come...

23 other providers at this address

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About NPI 1972939692

Tracy Diane Tullier, PA-C's National Provider Identifier is 1972939692, issued on Sep 26, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Glen Burnie, MD. The record was last updated on Sep 26, 2013.