Tomeka Wormack in Winston Salem - Family

Tomeka Wormack - NPI 1790898005

Tomeka Wormack is a Family in Winston Salem, North Carolina. Tomeka Wormack practices all healthcare services and medical treatments related to Family. The NPI Number for Tomeka Wormack is 1790898005. The last update date is 2010-09-16.

Tomeka Wormack's current location address is Po Box 344, Winston Salem, North Carolina. You can contact this provider via phone number 3367162255 and fax number 3367168190. The mailing address for Tomeka Wormack is Po Box 344, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Tomeka Wormack
Address Po Box 344, Winston Salem, North Carolina
Phone Number 3367162255
Fax Number 3367168190
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1790898005
Provider Enumeration Date 2006-08-17
Last Updated Date 2010-09-16

Provider Mailing Address Detail

Address Po Box 344
City Winston Salem
State North Carolina (NC)
Post Code 271020344
Phone Number 3367162255
Fax Number 3367168190

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 201954
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7646859 AETNA
7004503 NC --
P00397962 RR MEDICARE
191436 MEDCOST

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FAQs about Tomeka Wormack

What is the unique provider identifier assigned to Tomeka Wormack?

The Tomeka Wormack has been issued the NPI (National Provider Identifier) 1790898005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Tomeka Wormack's physical address?

The Tomeka Wormack is physically located at Po Box 344, in the city of Winston Salem, NC, with the postal code 271020344.

What is Tomeka Wormack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tomeka Wormack is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.

On what date did the Tomeka Wormack receive its 1790898005 assignment from the Centers for Medicare & Medicaid Services?

The Tomeka Wormack was assigned its 1790898005 by the Centers for Medicare & Medicaid Services on 2006-08-17.

As of what date was the information regarding Tomeka Wormack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tomeka Wormack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-09-16.

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