Individual
TANIKA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
715 FALCON LN, ABERDEEN, MD 21001-1256
(443) 621-8572
Mailing address
715 FALCON LN, ABERDEEN, MD 21001-1256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R202855
MD
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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