NPI 1073918306

Nosta Tanyidah

Practitioner Point of Service Greenbelt, MD

Practice location

Address: 7813 Mandan Rd T2, Greenbelt, MD 20770-2139
Phone: (202) 391-1159

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence HHA10348 (DC)

Other Point of Service providers in Maryland →

Registry record

NPI: 1073918306
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Oct 2014
Record last updated: 29 Oct 2014

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.