JUDITH TANGI


Address: 8125 Mallard Shore Dr, Laurel, MD 20724-2967
Phone: 2408384012

JUDITH TANGI (NPI# 1003437377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003437377
Entity Type Individual
Full Name JUDITH TANGI
Credential CRNP-PMH
Practice Address 8125 Mallard Shore Dr
Laurel
MD 20724-2967
Practice Telephone 2408384012
Mailing Telephone 2408384012
Enumeration Date 2020-04-28
Last Update Date 2020-04-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R184959 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8125 MALLARD SHORE DR
City LAUREL
State MD
Zip Code 20724-2967

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1912369315 Josiane Kameni Sahok Home Health Aide 8057 Ians Alley, Laurel, MD 20724 2016-03-24
1851641955 Kelvinda Kamara Nurse Practitioner 7903 Orion Circle, D234 Nurse Practitioner On Call, Laurel, MD 20724 2012-09-16
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497364814 Adedoyin Sobowale Nurse Practitioner 7701 Beall Rd, Laurel, MD 20707-3300 2020-07-31
1922664796 Maryrose Otugo Nurse Practitioner 14301 Wilshire Ct, Laurel, MD 20707-9512 2019-05-16
1316404353 Maria Neh Tancho Nurse Practitioner 13715 Oaklands Manor Dr, Laurel, MD 20708-1430 2019-02-26
1588901946 Mary Nongndeh Zelio Nurse Practitioner 3573 Fort Meade Rd, Laurel, MD 20724-2015 2013-01-04
1093075731 Nadine Carole Missiet Fogoum Nurse Practitioner 8625 Savannah River Rd, Laurel, MD 20724-1956 2012-05-28
1649573346 Leighton Kennedy Nurse Practitioner 8101 Sandy Spring Rd Ste 250, Laurel, MD 20707-3527 2010-12-19
1780816553 Janet Powell Mcmillan Nurse Practitioner 69 Watertank Rd, Laurel, MS 39443-2954 2009-08-12
1487260584 Rose Godwin Support Services, Inc Nurse Practitioner 13671 Baltimore Ave, Laurel, MD 20707-5096 2020-09-23
1548871106 Muni Gwanyebit Nurse Practitioner 13994 Baltimore Ave Ste 102, Laurel, MD 20707-5087 2020-08-16
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Competitor

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City LAUREL
Zip Code 20724

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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