ASHLEY TYISHA SYDNOR


Address: 2202 Park Ave Unit 302, Baltimore, MD 21217-4868
Phone: 4438273802

ASHLEY TYISHA SYDNOR (NPI# 1750996930) 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) 1750996930
Entity Type Individual
Full Name ASHLEY TYISHA SYDNOR
Credential CRNP-FAMILY
Practice Address 2202 Park Ave Unit 302
Baltimore
MD 21217-4868
Practice Telephone 4438273802
Mailing Telephone 4438273802
Enumeration Date 2020-09-14
Last Update Date 2020-09-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R233847 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2202 PARK AVE UNIT 302
City BALTIMORE
State MD
Zip Code 21217-4868

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21217

Improve Information

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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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