Individual provider · Type 1 NPI
Mary Tola, CRNP
Adult Health Nurse Practitioner · Cumberland, MD
NPI number
1588717367
Active
Practice location
12502 Willowbrook Rd, Suite 300
Cumberland, MD 21502-6491
Fax (240) 964-8687
Mailing address
12404 Butler Dr NW
Lavale, MD 21502-6026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | R062454 (MD) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1588717367
Mary Tola, CRNP's National Provider Identifier is 1588717367, issued on Jan 18, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Cumberland, MD. The record was last updated on Nov 18, 2014.