Tynnetta Graham in Baltimore - Family

Tynnetta Graham - NPI 1578573440

Tynnetta Graham is a Family in Baltimore, Maryland. Tynnetta Graham practices all healthcare services and medical treatments related to Family. The NPI Number for Tynnetta Graham is 1578573440. The last update date is 2019-04-18.

Tynnetta Graham's current location address is 1000 Cathedral St, Baltimore, Maryland. You can contact this provider via phone number 4103961295. The mailing address for Tynnetta Graham is 1000 Cathedral St, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Tynnetta Graham
Address 1000 Cathedral St, Baltimore, Maryland
Phone Number 4103961295
Fax Number
Sole Proprietor N
Credentials CRNP

NPI Number Detail

NPI Number 1578573440
Provider Enumeration Date 2006-08-09
Last Updated Date 2019-04-18

Provider Mailing Address Detail

Address 1000 Cathedral St
City Baltimore
State Maryland (MD)
Post Code 212015418
Phone Number 4103961295
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R153464
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
406596000 MD --

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FAQs about Tynnetta Graham

What is the unique identification code assigned to Tynnetta Graham by the Centers for Medicare & Medicaid Services?

The Tynnetta Graham has been issued the NPI (National Provider Identifier) 1578573440. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Tynnetta Graham's facilities are situated?

The facilities of Tynnetta Graham are physically located at the following address: 1000 Cathedral St, Baltimore, MD, 212015418.

What is Tynnetta Graham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tynnetta Graham is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1578573440 to Tynnetta Graham?

The Centers for Medicare & Medicaid Services assigned the 1578573440 to Tynnetta Graham on 2006-08-09.

As of what date were the details related to Tynnetta Graham most recently updated or revised?

The information pertaining to Tynnetta Graham, including its address, specialty, and other relevant details, was last updated or revised on 2019-04-18.

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