Organization
ET FAMILY PRACTICE
Active
Organization
ET FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETA STEPHEN TATAW SR. CRNP (PRIMARY CARE PROVIDER)
(240) 386-9682
Entity
Organization
Contact information
Practice address
7500 HANOVER PKWY, 202, GREENBELT, MD 20770-2010
(301) 220-0866
(240) 510-9532
Mailing address
7500 HANOVER PKWY, 202, GREENBELT, MD 20770-2010
(301) 220-0866
(240) 510-9532
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
R178223
MD
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up