Provider Demographics
NPI:1962985549
Name:TILGHMAN, CHERNELL S
Entity type:Individual
Prefix:
First Name:CHERNELL
Middle Name:S
Last Name:TILGHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6931 ALLISON ST APT C2
Mailing Address - Street 2:
Mailing Address - City:LANDOVER HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2037
Mailing Address - Country:US
Mailing Address - Phone:240-501-0292
Mailing Address - Fax:
Practice Address - Street 1:6931 ALLISON ST APT C2
Practice Address - Street 2:
Practice Address - City:LANDOVER HILLS
Practice Address - State:MD
Practice Address - Zip Code:20784-2037
Practice Address - Country:US
Practice Address - Phone:240-501-0292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant