Provider Demographics
NPI:1346054970
Name:TUMMINELLO, EMILIA (PA-C)
Entity type:Individual
Prefix:
First Name:EMILIA
Middle Name:
Last Name:TUMMINELLO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NEW TAZEWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37825-6600
Mailing Address - Country:US
Mailing Address - Phone:423-626-7297
Mailing Address - Fax:
Practice Address - Street 1:309 N BROAD ST
Practice Address - Street 2:
Practice Address - City:NEW TAZEWELL
Practice Address - State:TN
Practice Address - Zip Code:37825-6600
Practice Address - Country:US
Practice Address - Phone:423-626-7297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant