Provider Demographics
NPI:1356800981
Name:ADAMS-HARLEE, TARYN OLIVIA (FNP-C)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:OLIVIA
Last Name:ADAMS-HARLEE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:TARYN
Other - Middle Name:OLIVIA
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:115 E MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-2945
Mailing Address - Country:US
Mailing Address - Phone:443-787-6126
Mailing Address - Fax:
Practice Address - Street 1:115 E MELROSE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-2945
Practice Address - Country:US
Practice Address - Phone:443-787-6126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-13
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR127048363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily