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

Gwendolin Tifang

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1700544707

Gwendolin Tifang is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2023, 3 years ago. Practices with Sheppard Pratt Physicians PA, a 72-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2021
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Practice location Address checks out

6501 N Charles St
Baltimore, MD 21204-6819
Phone: (410) 938-3000
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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 R226369 (MD)

Record details

NPI number1700544707
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 7, 2021
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sheppard Pratt Physicians Pa — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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