IndividualActive
Tamieko Ross-Anyaso, CRNP
NPI 1073063632 · Preferred Provider Organization · Elkridge, MD
Provider details
- NPI number
- 1073063632
- Entity type
- Individual
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- R183031 (MD)
Specialties & taxonomies
Managed Care Organizations
Practice location
5919 Lebanon Ln
Elkridge, MD 21075-5142
Phone: (410) 382-5386
Approximate (ZIP-level) locationGet directions
Mailing address
5919 Lebanon Ln
Elkridge, MD 21075-5142
Registry dates
- Enumerated
- 2016-10-07
- Last updated
- 2016-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.