Individual
MR. TAVERSHIMA ASOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, NP-C
Contact information
Practice address
7341 ARGONNE DR, MARRIOTTSVILLE, MD 21104-1074
(410) 552-8885
(410) 826-3835
Mailing address
7341 ARGONNE DR, MARRIOTTSVILLE, MD 21104-1074
(410) 552-8885
(410) 826-3835
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R216748
MD
363LF0000X
Family Nurse Practitioner
SP010531
PA
Other
Enumeration date
12/23/2009
Last updated
07/28/2026
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