Individual
CYNTHIA E TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50 W EDMONSTON DR STE 403, ROCKVILLE, MD 20852-1200
(240) 449-3094
(240) 489-4415
Mailing address
8980 EXECUTIVE CLUB DR, DELMAR, MD 21875-2366
(443) 614-9072
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R130668
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20020585
BOARD OF DIABETES CARE AND EDUCATION
—
01
—
R130668
STATE OF MARYLAND
MD
Enumeration date
04/29/2021
Last updated
04/29/2021
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