Individual provider · Type 1 NPI
Judith F. Tanner, CRNP
Pediatric Nurse Practitioner · Baltimore, MD
NPI number
1083774061
Active
Practice location
827 Linden Ave
Baltimore, MD 21201-4606
Mailing address
PO Box 64522
Baltimore, MD 21264-4522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R064033 (MD) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1083774061
Judith F. Tanner, CRNP's National Provider Identifier is 1083774061, issued on Dec 11, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2007.