IndividualActive
Tyreke Poole, RN, SNP
NPI 1417774100 · Critical Care Medicine Registered Nurse · Bethesda, MD
Provider details
- NPI number
- 1417774100
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- RN, SNP
- Sex
- Male
- Sole proprietor
- No
- License
- 26NR18600700 (NJ)
Specialties & taxonomies
Nursing Service Providers
Practice location
4494 Palmer Rd N
Bethesda, MD 20814
Phone: (301) 295-4830
Approximate (ZIP-level) locationGet directions
Mailing address
19420 Ridgecrest Dr
Germantown, MD 20874-1539
Additional practice locations (1)
- 655 W Lombard StBaltimore, MD 21201-1512Phone: (410) 706-0501
Registry dates
- Enumerated
- 2024-09-24
- Last updated
- 2024-09-24
- Certified
- 2024-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.