Individual
TIERRA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
7600 CARROLL AVE, TAKOMA PARK, MD 20912-6367
(301) 891-7600
Mailing address
6934 AVIATION BLVD, SUITE B, GLEN BURNIE, MD 21061-2593
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R208014
MD
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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