Individual provider · Type 1 NPI

Eta Stephen Tataw, CRNP

Family Nurse Practitioner · Greenbelt, MD

NPI number 1821347592 Active

Practice location

7231 Hanover Pkwy Ste A
Greenbelt, MD 20770-2027

Fax (301) 982-2588

Other practice locations

  • 8600 Snowden River Pkwy Ste 306, Columbia, MD 21045-1986 · (443) 546-4172

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR178223 (MD)
Family Nurse Practitioner 363LF0000XRN1011938 (DC)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1821347592

Eta Stephen Tataw, CRNP's National Provider Identifier is 1821347592, issued on Sep 10, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenbelt, MD. The record was last updated on Feb 24, 2023.