Individual
MS. TIFFANI N TYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, GUDELSKY BASEMENT, BALTIMORE, MD 21201-1544
(410) 328-3037
(410) 328-3040
Mailing address
PO BOX 64620, BALTIMORE, MD 21264-4620
(410) 328-3037
(410) 328-3040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R146119
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403778200
—
MD
Enumeration date
07/30/2006
Last updated
04/29/2008
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