National Provider Identifier
Tammy Sue Walrath, PA
Tammy Sue Walrath, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Ithaca, NY and a listed phone number of (607) 844-7271.
Profile Overview
- NPI
- 1891261228
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- October 24, 2018
- Last Updated
- January 13, 2021
Practice Location
- 201 Dates Dr
- Ithaca, NY 14850-1345
Phone: (607) 844-7271
Specialties
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1891261228
- Entity Type
- Individual
- Last Name
- Walrath
- First Name
- Tammy
- Middle Name
- Sue
- Credential
- PA
- Mailing Street Address
- 201 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1345
- Mailing Country
- US
- Mailing Phone
- (607) 844-7271
- Practice Street Address
- 201 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1345
- Practice Country
- US
- Practice Phone
- (607) 844-7271
- Enumeration Date
- October 24, 2018
- Last Updated
- January 13, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 13, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)