Individual provider · Type 1 NPI
Tamara Wiseman
Critical Care Neonatal Nurse Practitioner · Baltimore, MD
NPI number
1891396784
Active
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
308 Ammunition Ave
Odenton, MD 21113-2663
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | R167944 (MD) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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About NPI 1891396784
Tamara Wiseman's National Provider Identifier is 1891396784, issued on Nov 5, 2020. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Baltimore, MD. The record was last updated on Nov 5, 2020.