Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
MRS. TAMARA T PETRIDES PNP
NPI 1225097264
Nurse Practitioner - Pediatrics in Baltimore, MD
Active since March 20, 2006
About Mrs. Tamara T Petrides Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TAMARA T PETRIDES PNP (NPI 1225097264) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (R099609) and active in the NPI registry since March 2006.
NPPES Registry Identity
NPI1225097264
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. TAMARA T PETRIDESCredential: PNP
Location Address2000 EDGEWOOD STBaltimore, MD 21216-2537
Mailing Address1905 Reuter RdTimonium, MD 21093-4326
Phone(410) 396-0737
Sole ProprietorNo
Enumeration DateMarch 20, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1225097264 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MD · R099609
2000 EDGEWOOD ST, Baltimore, MD 21216
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Pediatrics)
2000 EDGEWOOD ST, WALBROOK HIGH SCHOOL BASED HEALTH CENTER
BALTIMORE, MD 21216
BALTIMORE, MD 21216
Nurse Practitioner (Pediatrics)
2000 EDGEWOOD ST
BALTIMORE, MD 21216
BALTIMORE, MD 21216
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225097264, enumerated as an "individual" on March 20, 2006.
The provider is located at 2000 EDGEWOOD ST BALTIMORE, MD 21216 and the phone number is (410) 396-0737.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
