Individual
TANIA GERTRUDE NIAMKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP-PMH
Contact information
Practice address
2641 MARYLAND AVE, BALTIMORE, MD 21218-4518
(240) 355-1475
Mailing address
2641 MARYLAND AVE, BALTIMORE, MD 21218-4518
(240) 355-1475
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
R210475
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R210475
MD
Other
Enumeration date
04/14/2025
Last updated
04/21/2026
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