National Provider Identifier Database

TAMI L WACKER, MA – NPI #1275389728
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

TAMI L WACKER, MA
1303 N CANAL ST APT 28
CARLSBAD, NM88220-4668
Phone: 575-302-1666
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for TAMI L WACKER

NPI Number 1275389728
Credentials MA
Entity Individual
Enumeration date 04/25/2024
Last updated 12/12/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 044.011785
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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