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Individual

ASHLEY TYISHA SYDNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP-FAMILY, PMHNP

Contact information

Practice address
2527 GREENMOUNT AVE, BALTIMORE, MD 21218-4721
(443) 827-3802
Mailing address
3905 EDNOR RD, BALTIMORE, MD 21218-2054
(443) 827-3802

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R233847
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R233847
MD

Other

Enumeration date
09/14/2020
Last updated
07/03/2024
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