TAMMY NISSLY COUGNET

BALTIMORE, MD
NPI1346335429
Former NameTAMMY NISSLY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MD  R145875)
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
-- TAMMY NISSLY COUGNET CRNP
827 LINDEN AVE
BALTIMORE, MD 21201-4606
Phone number: 410-225-8000
Mailing Address
-- TAMMY NISSLY COUGNET CRNP
PO BOX 64522
BALTIMORE, MD 21264-4522
Phone number: