Tarawali, Fatmata Tity

Tarawali, Fatmata Tity is an individual health care provider with primary practice located at 4390 Montgomery Rd , Ellicott City MD 21043-6068. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tarawali, Fatmata Tity can be contacted via phone (410) 203-1700.

Contact Information

Primary practice address
4390 Montgomery Rd Ellicott City MD 21043-6068
Phone: (410) 203-1700
Fax: (410) 203-1026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN50629 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R091956 Maryland

Profile Details

NPI number 1174622989
LBN Legal business name Tarawali, Fatmata Tity
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 16th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174622989 NPPES
District of Columbia MEDICAID 029880400

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