Individual provider · NPI-1

Tannyka Coleman, BSN RN IBCLC

Registered Nurse, Lactation Consultant · Baltimore, MD

NPI number1003312562
StatusActive
Last updated in NPPESJan 27, 2021

Details

NPI
1003312562
Entity type
Individual (NPI-1)
Name
Ms. Tannyka Coleman
Credential
BSN RN IBCLC
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2018
Certification date
Jan 27, 2021
Last updated
Jan 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WL0100X Registered Nurse, Lactation ConsultantL-49015MDYes
163WL0100X Registered Nurse, Lactation ConsultantR183794MD

Practice location

610 N Chester St
Baltimore, MD 21205-2303

Phone 410-675-2125

Mailing address

3102 Northmont Rd
Baltimore, MD 21244-2976

Other practice locations

1221 Mercantile Ln
Upper Marlboro, MD 20774-5374

Phone 301-618-5500

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