Individual provider · Type 1 NPI

Vivian Tantoh

Psychiatric/Mental Health Nurse Practitioner · Glen Burnie, MD

NPI number 1801363213 Active

Practice location

14 Wellham Ave NW
Glen Burnie, MD 21061-2200

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X929987 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1801363213

Vivian Tantoh's National Provider Identifier is 1801363213, issued on Oct 24, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glen Burnie, MD. The record was last updated on Aug 18, 2026.