Individual provider · Type 1 NPI
Ellyn Tennyson, CRNP
Acute Care Nurse Practitioner · Baltimore, MD
NPI number
1376752790
Active
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | R089051 (MD) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1376752790
Ellyn Tennyson, CRNP's National Provider Identifier is 1376752790, issued on May 22, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2007.