Most Relevant Information
Provider Data
| NPI Number: | 1003312562 |
| Provider Name: | TANNYKA COLEMAN BSN RN IBCLC |
| Entity Type: | Individual |
| Taxonomy Code: | 163WL0100X |
| Specialty: | Registered Nurse |
| License Number: | R183794 |
Most Important Dates
| Enumeration Date: | 04/03/2018 |
| Last Updated: | 01/27/2021 |
Provider Practice Location
610 N CHESTER ST
BALTIMORE
MD
212052303
Practice Location Phone/Fax
| Phone: | 4106752125 |
| Fax: |
Provider Mailing Location
3102 NORTHMONT RD
BALTIMORE
MD
212442976
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |