Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TAMARA BOYD POTTILLO
Active Sole ProprietorMRS. TAMARA BOYD POTTILLO is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LUTHERVILLE TIMONIUM, Maryland. NPI 1922717495 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · LUTHERVILLE TIMONIUM, MD
Registration Details
- NPI Number
- 1922717495
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 23, 2022 (3.7203129213071 yrs)
- Last Updated
- Dec 13, 2025
- Licenses
-
TPAN1705 (FL)R197825 (MD)L8-0010590 (DE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1301 YORK RD STE 800LUTHERVILLE TIMONIUM, MD, 210936011Browse MD providers · Browse ZIP 21093
- Phone
- 4103768728
- Fax
- 4108623774
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in LUTHERVILLE TIMONIUM, MD
| Name | Credential | NPI |
|---|---|---|
| VICTORIA R HUDAK | CRNP | 1811249824 |
| EMMA CAROLINE MANGANO | PMH-NP | 1750716981 |
| ESTHER ANYATONWU | NP | 1245623198 |
| MRS. DARA VAUGHAN | CRNP | 1659899185 |
| MODINAT OLUWATOYIN FAGBENRO | PMHNP-BC | 1063061034 |
| MARIEL VERONICA OTTER | DNP, CRNP-MH | 1881204535 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.