person
Dr. Eta Stephen Tataw, CRNP
Family Nurse Practitioner in Greenbelt, Maryland
NPI 1821347592

Eta Stephen Tataw is a Family Nurse Practitioner based in Greenbelt, MD and is specialized in Family. Eta Stephen Tataw practices in Greenbelt, MD and has the professional credentials of CRNP. The NPI Number for Eta Stephen Tataw is 1821347592 and holds a License No. R178223 (Maryland).

The current practice location address for Eta Stephen Tataw is 7231 Hanover Pkwy Ste A, Greenbelt, MD and can be reached out via phone at 301-982-7898 and via fax at 301-982-2588. You can also correspond with Eta Stephen Tataw through the mailing address at 7231 HANOVER PKWY STE A, GREENBELT, MD - 20770-2027 (mailing address contact number: 301-982-7898).

Location: 7231 Hanover Pkwy Ste A, Greenbelt, MD, 20770-2027
person
Provider Profile Details
NPI Number
1821347592
Provider Name
Eta Stephen Tataw
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
7231 Hanover Pkwy Ste A, Greenbelt, MD, 20770-2027
Phone Number
301-982-7898
Fax Number
301-982-2588
Provider Enumeration Date
09/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
337807100 05 MD
424652700 05 MD
institution
Provider Business Practice Location Address Details
Address
7231 Hanover Pkwy Ste A
City
State
Zip
20770-2027
Phone Number
301-982-7898
Fax Number
301-982-2588
person
Provider Business Mailing Address Details
Address
7231 Hanover Pkwy Ste A
City
State
Zip
20770-2027
Phone Number
301-982-7898
Fax Number
301-982-2588
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R178223 (Maryland)
Definition
Definition to come...
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