Individual
DR. ETA STEPHEN TATAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
7231 HANOVER PKWY STE A, GREENBELT, MD 20770-2027
(301) 982-7898
(301) 982-2588
Mailing address
7231 HANOVER PKWY STE A, GREENBELT, MD 20770-2027
(301) 982-7898
(301) 982-2588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R178223
MD
363LF0000X
Family Nurse Practitioner
RN1011938
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337807100
—
MD
05
—
424652700
—
MD
Enumeration date
09/10/2012
Last updated
02/24/2023
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