Individual provider · Type 1 NPI
Anyinkeng Lydia Tazi, REGISTERED NURSE
Psychiatric/Mental Health Nurse Practitioner · Clinton, MD
NPI number
1245591973
Active
Practice location
12003 Piscataway Rd
Clinton, MD 20735-1168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN1031555 (DC) |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Home Health Aide | 374U00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R208066 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1245591973
Anyinkeng Lydia Tazi, REGISTERED NURSE's National Provider Identifier is 1245591973, issued on May 29, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Clinton, MD. The record was last updated on Oct 3, 2023.