Individual provider · Type 1 NPI
Tyeisha Wilkins Witherspoon, AGPCNP
Primary Care Nurse Practitioner · Ellicott City, MD
NPI number
1720800600
Active
Practice location
4801 Dorsey Hall Dr Ste 226
Ellicott City, MD 21042-7764
Mailing address
3205 Granite Rd
Woodstock, MD 21163-1005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R223487 (MD) |
| Gerontology Nurse Practitioner | 363LG0600X | R223487 (MD) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | R223487 (MD) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Ellicott City
About NPI 1720800600
Tyeisha Wilkins Witherspoon, AGPCNP's National Provider Identifier is 1720800600, issued on Oct 30, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Ellicott City, MD. The record was last updated on Dec 6, 2024.