Individual provider · Type 1 NPI

Fatmata Tity Tarawali, APRN

Family Nurse Practitioner · Ellicott City, MD

NPI number 1174622989 Active

Practice location

4390 Montgomery Rd
Ellicott City, MD 21043-6068

Fax (410) 203-1026

Mailing address

6903 Greenvale Pkwy
Hyattsville, MD 20784-1538

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN50629 (DC)
Family Nurse Practitioner Primary 363LF0000XR091956 (MD)

Family Nurse Practitioner: Definition to come...

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About NPI 1174622989

Fatmata Tity Tarawali, APRN's National Provider Identifier is 1174622989, issued on Sep 21, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ellicott City, MD. The record was last updated on Jul 16, 2009.