Healthcare Provider Details

I. General information

NPI: 1366054488
Provider Name (Legal Business Name): CLAIRE TINDULA NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2020
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2117 N CHARLES ST
BALTIMORE MD
21218-5763
US

IV. Provider business mailing address

725 W LOMBARD ST
BALTIMORE MD
21201-1009
US

V. Phone/Fax

Practice location:
  • Phone: 443-869-6867
  • Fax:
Mailing address:
  • Phone: 410-706-8614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberR219997
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR219997
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: