Provider Demographics
NPI:1043425572
Name:ARMS, TAMATHA EBERT (NP-C)
Entity type:Individual
Prefix:MRS
First Name:TAMATHA
Middle Name:EBERT
Last Name:ARMS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5917 OLEANDER DR STE 202
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-4709
Mailing Address - Country:US
Mailing Address - Phone:910-799-6262
Mailing Address - Fax:910-799-6261
Practice Address - Street 1:5917 OLEANDER DR STE 202
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4709
Practice Address - Country:US
Practice Address - Phone:910-799-6262
Practice Address - Fax:910-799-6261
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200100271363LA2200X
NC5003141363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2592978BMedicare PIN