Individual
STAR TANGYIE-CHE NIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10490 LITTLE PATUXENT PKWY STE 600, COLUMBIA, MD 21044-4941
(240) 676-7213
Mailing address
1247 APOLLO DR, FREDERICK, MD 21702-1247
(410) 699-9779
(410) 699-9789
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R215105
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
987384800
—
MD
Enumeration date
06/14/2012
Last updated
08/07/2024
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