Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glory Tataw

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1033782115

Glory Tataw is a Nurse Practitioner in Ellicott City, Maryland. Qualified in 2020, 6 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3203A Corporate Ct
Ellicott City, MD 21042-2247
Phone: (410) 205-2458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R222480 (MD)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence R222480 (MD)

Record details

NPI number1033782115
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 19, 2021
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Ellicott City