Individual
VINCIYA PANDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
600 N WOLFE ST, MEYER 8-140, BALTIMORE, MD 21287-0005
(410) 502-6114
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R142853
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408466700
—
MD
Enumeration date
12/09/2006
Last updated
07/24/2013
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