Provider Demographics
NPI:1942532148
Name:WITMER, TAMMY L (CNM)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:L
Last Name:WITMER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:L
Other - Last Name:ALBRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 13579
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-3579
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:949 NEW HOLLAND RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607-1646
Practice Address - Country:US
Practice Address - Phone:610-777-7222
Practice Address - Fax:610-775-9534
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010212367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102485600Medicaid
PA102485600Medicaid