CONSTANCE AYUK TATAW


Address: 3938 Rolling Rd, Pikesville, MD 21208-2455
Phone: 4439291462

CONSTANCE AYUK TATAW (NPI# 1225599368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225599368
Entity Type Individual
Full Name CONSTANCE AYUK TATAW
Credential NP
Practice Address 3938 Rolling Rd
Pikesville
MD 21208-2455
Practice Telephone 4439291462
Mailing Telephone 4439291462
Enumeration Date 2019-03-30
Last Update Date 2019-03-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
R198020 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3938 ROLLING RD
City PIKESVILLE
State MD
Zip Code 21208-2455

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NPI Name Taxonomy Address Enumeration
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1851892897 For Hope's Sake, LLC. Substance Abuse Rehabilitation Facility 1326 Greenwood Rd, Baltimore, MD 21208 2018-02-26
1194254482 One Day At A Time Personal Care LLC. Home Health 103 Sudbrook Lane, Suite9, Pikesville, MD 21208 2017-06-08
1871946467 Lori Pasch Social Worker 7211 Park Heights Avenue, Suite 4, Baltimore, MD 21208 2016-07-19
1669822706 Holly Hibbard Physical Therapist 575 South Charles Street, Suite 201, Baltimore, MD 21208 2016-06-20
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1104016948 Samantha Roberta Kite Nurse Practitioner 8 Sudbrook Ln, Pikesville, MD 21208-4133 2007-07-27
1073646055 Christine L Manko Nurse Practitioner 1838 Greene Tree Rd Ste 225a, Pikesville, MD 21208-6391 2007-03-13
1770678187 Gina Dieudonne-negri Nurse Practitioner 4201 Lowell Drive, Pikesville, MD 21208-6028 2006-10-03
1952818999 Optimize Medical Group Nurse Practitioner 1314 Bedford Ave Ste 113, Pikesville, MD 21208-3737 2017-12-29
1245638048 John Kamau Ngugi Nurse Practitioner 1314 Bedford Ave Ste 113, Pikesville, MD 21208-3737 2014-12-10
1861730863 Justyna Brys Mira Nurse Practitioner 1838 Greene Tree Rd, Suite 150, Pikesville, MD 21208-6391 2013-01-25
1366680522 Beverly A Lang Nurse Practitioner 1838 Greene Tree Rd, Pikesville, MD 21208 2009-01-27

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1659981728 Jamie Briddell Nurse Practitioner 250 N Calvert St, Baltimore, MD 21202-3505 2020-08-04
1881202570 Jisha S Varghese Nurse Practitioner 3257 Ramblewood Rd, Ellicott City, MD 21042-2445 2020-07-19
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Competitor

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City PIKESVILLE
Zip Code 21208

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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