Individual provider · Type 1 NPI

Nichole Elizabeth Tucker, CRNP

Pediatric Nurse Practitioner · Annapolis, MD

NPI number 1861755928 Active

Practice location

200 Forbes St, Ste 200
Annapolis, MD 21401-1538

Fax (410) 263-4086

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR191254 (MD)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1861755928

Nichole Elizabeth Tucker, CRNP's National Provider Identifier is 1861755928, issued on Jun 22, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Annapolis, MD. The record was last updated on Dec 11, 2014.