Provider Demographics
NPI:1487681904
Name:BAND, TAMELA (NP)
Entity Type:Individual
Prefix:MRS
First Name:TAMELA
Middle Name:
Last Name:BAND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:TAMELA
Other - Middle Name:
Other - Last Name:JOHNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:24 MALIBU CT
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2046
Mailing Address - Country:US
Mailing Address - Phone:410-296-5471
Mailing Address - Fax:
Practice Address - Street 1:8000 YORK RD DOWELL HEALTH CTR
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21252-0001
Practice Address - Country:US
Practice Address - Phone:410-704-2466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR045009261QS1000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
Not Answered363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care