Petrides, Tamara T

Petrides, Tamara T is an individual health care provider with primary practice located at 2000 Edgewood St , Baltimore MD 21216-2537. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Petrides, Tamara T can be contacted via phone (410) 396-0737.

Contact Information

Primary practice address
2000 Edgewood St Baltimore MD 21216-2537
Phone: (410) 396-0737
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R099609 Maryland

Profile Details

NPI number 1225097264
LBN Legal business name Petrides, Tamara T
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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