Individual provider · Type 1 NPI

Tierra Anderson, AG-ACNP

Acute Care Nurse Practitioner · Takoma Park, MD

NPI number 1811379993 Active

Practice location

7600 Carroll Ave
Takoma Park, MD 20912-6367

Mailing address

6934 Aviation Blvd, Suite B
Glen Burnie, MD 21061-2593

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XR208014 (MD)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1811379993

Tierra Anderson, AG-ACNP's National Provider Identifier is 1811379993, issued on Jun 24, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Takoma Park, MD. The record was last updated on Jun 24, 2015.