Individual
MRS. TAMARA BOYD POTTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 YORK RD STE 800, LUTHERVILLE TIMONIUM, MD 21093-6011
(410) 376-8728
(410) 862-3774
Mailing address
1301 YORK RD STE 800, LUTHERVILLE TIMONIUM, MD 21093-6011
(410) 376-8728
(410) 862-3774
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
L8-0010590
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R197825
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
TPAN1705
FL
Other
Enumeration date
11/23/2022
Last updated
12/13/2025
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