Individual provider · Type 1 NPI
Tara Momplaisir, C.R.N.P.
Acute Care Nurse Practitioner · Baltimore, MD
NPI number
1700836822
Active
Practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
6201 Greenleigh Ave Fl 2
Middle River, MD 21220-2004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | R152905 (MD) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | R152905 (MD) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1700836822
Tara Momplaisir, C.R.N.P.'s National Provider Identifier is 1700836822, issued on May 11, 2006. 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 Aug 15, 2024.