Individual provider · Type 1 NPI
Walter Lewis Toller Iii
Nurse Practitioner · Baltimore, MD
Practice location
2439 E Lafayette Ave
Baltimore, MD 21213-2562
Fax (410) 747-4076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R197972 (MD) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
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About NPI 1760060636
Walter Lewis Toller Iii's National Provider Identifier is 1760060636, issued on Mar 31, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 29, 2021.