NPI 1073063632

Tamieko Ross-Anyaso, CRNP

Practitioner Preferred Provider Organization Elkridge, MD

Practice location

Address: 5919 Lebanon Ln, Elkridge, MD 21075-5142
Phone: (410) 382-5386

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence R183031 (MD)

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Registry record

NPI: 1073063632
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Oct 2016
Record last updated: 19 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.