Provider Demographics
NPI:1154601987
Name:TUSSING, MEREDITH KRISTINE (CNM, NP)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:KRISTINE
Last Name:TUSSING
Suffix:
Gender:F
Credentials:CNM, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-340-9027
Practice Address - Street 1:2101 MEDICAL PARK DR STE 200E
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4053
Practice Address - Country:US
Practice Address - Phone:301-468-0073
Practice Address - Fax:240-283-8412
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR205373363L00000X, 363L00000X
CA20281363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2482866OtherCOVENTRY
MD6832-0017OtherCAREFIRST
MD063788200Medicaid
MD8769665OtherAETNA HMO
MD9050960OtherAETNA PPO
MD8769665OtherAETNA HMO