Individual
KATE TIEBOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN , BSN
Contact information
Practice address
10440 LITTLE PATUXENT PKWY STE 800, COLUMBIA, MD 21044-3569
(443) 235-8848
Mailing address
10440 LITTLE PATUXENT PKWY STE 800, COLUMBIA, MD 21044-3569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R182094
MD
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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