Provider Demographics
NPI:1619127420
Name:ADOLEMAIU-BEY, TAMAR AVATAR (CRNP, DNP)
Entity Type:Individual
Prefix:DR
First Name:TAMAR
Middle Name:AVATAR
Last Name:ADOLEMAIU-BEY
Suffix:
Gender:F
Credentials:CRNP, DNP
Other - Prefix:MRS
Other - First Name:TAMAR
Other - Middle Name:AVATAR
Other - Last Name:SHIRRIELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:1045 TAYLOR AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-8331
Mailing Address - Country:US
Mailing Address - Phone:443-261-6130
Mailing Address - Fax:410-946-1925
Practice Address - Street 1:1045 TAYLOR AVE STE 210
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-8331
Practice Address - Country:US
Practice Address - Phone:443-261-6130
Practice Address - Fax:410-946-1925
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR165813363LA2100X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care