Individual provider · Type 1 NPI
Glory Tataw
Psychiatric/Mental Health Nurse Practitioner · Ellicott City, MD
NPI number
1033782115
Active
Practice location
3203A Corporate Ct
Ellicott City, MD 21042-2247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R222480 (MD) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R222480 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1033782115
Glory Tataw's National Provider Identifier is 1033782115, issued on Jul 19, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ellicott City, MD. The record was last updated on Dec 26, 2024.