| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRIANNA TAPP | 1780238709 | 2020-06-27 |
Brianna M Tapp [F] graduated in 2018 and primarily specializes in Physician Assistant.
Brianna Tapp is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780238709. Registration indicates Brianna Tapp is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 8921339102 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Brianna Tapp PA |
| Practice Office Address | 3001 S HANOVER ST BALTIMORE, MD US |
| Practice Office Telephone | 4103503200 |
| Mailing Address | 57 BEAUMONT CIR HAMPSTEAD, NC 284433950 US |
| Business Telephone | 4104872142 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 9000 Franklin Square Dr | Baltimore, MD 212373901 | 4107777000 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | C0007234
MD |