MRS. FATMATA TITY TARAWALI APRN NPI 1174622989

NPI Information

NPI: 1174622989
Provider Name: MRS. FATMATA TITY TARAWALI, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4390 MONTGOMERY RD
ELLICOTT CITY, MD
ZIP 21043
Phone: (410) 203-1700
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MRS. Fatmata Tity Tarawali, APRN is a family nurse practitioner in Ellicott City, MD. MRS. Fatmata Tity Tarawali, APRN NPI is 1174622989. 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:

4390 MONTGOMERY RD
ELLICOTT CITY, MD
ZIP 21043-068
Phone: (410) 203-1700
Fax: (410) 203-1026

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/16/2009.

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
1	363L00000X	Nurse Practitioner		RN50629	DISTRICT OF COLUMBIA	No
2	363LF0000X	Nurse Practitioner	Family	R091956	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	082NR615	MEDICARE UPIN	MARYLAND
2	029880400	MEDICAID	DISTRICT OF COLUMBIA
3	095020	MEDICARE ID-TYPE UNSPECIFIED	DISTRICT OF COLUMBIA	PROVIDER NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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