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1306513031
TANYA NICHOLE JOHNSON
BALTIMORE, MD
NPI
1306513031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD R192010)
Enumeration Date
2021-08-30
Last Update Date
2024-10-21
Business Address
TANYA NICHOLE JOHNSON NP
2435 W BELVEDERE AVE
BALTIMORE, MD 21215-5224
Phone number: 410-601-6840
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Mailing Address
TANYA NICHOLE JOHNSON NP
5401 OLD COURT RD
RANDALLSTOWN, MD 21133-5103
Phone number: 410-521-2200
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