TESSA MIRJAFARY (NPI# 1477152320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477152320 |
Entity Type | Individual |
Full Name | TESSA MIRJAFARY |
Credential | RD |
Practice Address |
8757 Mylander Ln Towson MD 21286-2102 |
Mailing Address |
1018 S Decker Ave Baltimore MD 21224-4901 |
Practice Telephone | 4108210160 |
Enumeration Date | 2020-10-21 |
Last Update Date | 2020-10-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1201X | DX4791 | MD |
Street Address |
8757 MYLANDER LN |
City | TOWSON |
State | MD |
Zip Code | 21286-2102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306810601 | Brian M Powell | Physical Therapist | 8757 Mylander Ln, Towson, MD 21286-2102 | 2006-02-14 |
1164998183 | Lifebridge Sports Medicine and Rehabilitation LLC | Occupational Therapist | 8757 Mylander Ln, Towson, MD 21286-2102 | 2018-10-17 |
1801036249 | Turning Point Acyoupoint Centers, LLC | Acupuncturist | 8757 Mylander Ln, Towson, MD 21286-2102 | 2009-02-25 |
1881799559 | Physiotherapy Associates Inc | Clinic/Center | 8757 Mylander Ln, Towson, MD 21286-2102 | 2006-09-14 |
1538176821 | Sherri C Weinman | Physical Therapist | 8757 Mylander Ln, Towson, MD 21286-2102 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
Find all providers in zip 21286 |
Please comment or provide details below to improve the information on TESSA MIRJAFARY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.