IndividualActive
Tamara Wiseman
NPI 1891396784 · Critical Care Neonatal Nurse Practitioner · Baltimore, MD
Provider details
- NPI number
- 1891396784
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- R167944 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Phone: (410) 328-6716
Approximate (ZIP-level) locationGet directions
Mailing address
308 Ammunition Ave
Odenton, MD 21113-2663
Registry dates
- Enumerated
- 2020-11-05
- Last updated
- 2020-11-05
- Certified
- 2020-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.