GLORY TATAW NPI 1033782115

NPI Information

  • NPI: 1033782115
  • Provider Name: GLORY TATAW
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3203A CORPORATE CT
    ELLICOTT CITY, MD
    ZIP 21042
  • Phone: (410) 205-2458

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NPI Details

Glory Tataw is a psychiatric/mental health nurse practitioner in Ellicott City, MD with 6 years of experience. Glory Tataw NPI is 1033782115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3203A CORPORATE CT
ELLICOTT CITY, MD
ZIP 21042-247
Phone: (410) 205-2458

The NPI 1033782115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2021 and was last updated on 12/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR222480MARYLANDYes
2163WP0808XRegistered NursePsychiatric/Mental HealthR222480MARYLANDNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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