Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anyinkeng Lydia Tazi, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1245591973

Anyinkeng Lydia Tazi, REGISTEREDNURSE is a Nurse Practitioner in Clinton, Maryland. Qualified in 2022, 4 years ago. Practices with Toller Enterprises, LLC, a 63-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Maryland.

Years since qualifying
4
Licensed in
DC, MD
In the registry since
2012
Specialties on file
4
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Practice location Address checks out

12003 Piscataway Rd
Clinton, MD 20735-1168
Phone: (240) 691-6835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R208066 (MD)
Registered Nurse Taxonomy 163W00000X · Licence RN1031555 (DC)
Community/Behavioral Health Agency Taxonomy 251S00000X
Home Health Aide Taxonomy 374U00000X

Record details

NPI number1245591973
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedMay 29, 2012
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Toller Enterprises, Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clinton