Glory Tataw
NPI #1033782115 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1033782115
- Entity Type
- Individual
- Name
- Glory Tataw
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jul 19, 2021
- Last Updated
- Dec 26, 2024
Practice Location
- Address
- 3203A CORPORATE CT
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21042-2247
- Phone
- (410) 205-2458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
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