Individual
TAMIRA CANNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3900 LOCH RAVEN BLVD, BALTIMORE, MD 21218-2108
(443) 422-8414
Mailing address
3900 LOCH RAVEN BLVD, BALTIMORE, MD 21218-2108
(443) 422-8414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R240270
MD
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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