Healthcare Provider Details

I. General information

NPI: 1851642425
Provider Name (Legal Business Name): MRS. INNA TINSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2012
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 PLUMTREE RD STE 115
BEL AIR MD
21015-6095
US

IV. Provider business mailing address

104 PLUMTREE RD STE 115
BEL AIR MD
21015-6095
US

V. Phone/Fax

Practice location:
  • Phone: 410-515-4300
  • Fax: 410-515-5170
Mailing address:
  • Phone: 410-515-4300
  • Fax: 410-515-5170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR204132
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: