Individual provider · Type 1 NPI
Tammy Nissly Cougnet, CRNP
Pediatric Nurse Practitioner · Baltimore, MD
NPI number
1346335429
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 | R145875 (MD) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1346335429
Tammy Nissly Cougnet, CRNP's National Provider Identifier is 1346335429, issued on Oct 4, 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.