Most Relevant Information
Provider Data
| NPI Number: | 1003437377 |
| Provider Name: | JUDITH TANGI CRNP-PMH |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | R184959 |
Most Important Dates
| Enumeration Date: | 04/28/2020 |
| Last Updated: | 04/28/2020 |
Provider Practice Location
8125 MALLARD SHORE DR
LAUREL
MD
207242967
Practice Location Phone/Fax
| Phone: | 2408384012 |
| Fax: |
Provider Mailing Location
8125 MALLARD SHORE DR
LAUREL
MD
207242967
Provider Mailing Phone/Fax
| Phone: | 2408384012 |
| Fax: |