Individual
MS. TIANDRA NOEL TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(443) 904-6768
Mailing address
1525 GLENEAGLE RD, BALTIMORE, MD 21239-2433
(443) 904-6768
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R169708
MD
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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