Provider Demographics
NPI:1851642425
Name:TINSLEY, INNA
Entity Type:Individual
Prefix:MRS
First Name:INNA
Middle Name:
Last Name:TINSLEY
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 1:111 TREDMORE RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-8605
Mailing Address - Country:US
Mailing Address - Phone:410-638-5803
Mailing Address - Fax:
Practice Address - Street 1:6830 HOSPITAL DR
Practice Address - Street 2:SUITE 106A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4373
Practice Address - Country:US
Practice Address - Phone:410-284-3020
Practice Address - Fax:410-284-7204
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR204132363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health