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Individual

MR. NICHOLAS E TINDONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
7404 EXECUTIVE PL STE 100, LANHAM, MD 20706-6237
(240) 260-3827
(240) 260-3830
Mailing address
3613 CELESTE BRUCE CIR, BOWIE, MD 20721-2287
(240) 260-3827
(240) 260-3830

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN305565
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R180878
MD

Other

Enumeration date
08/27/2005
Last updated
05/16/2023
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