person
Mrs. Mary Tola, CRNP
Adult Health Nurse Practitioner in Cumberland, Maryland
NPI 1588717367

Mary Tola is an Adult Health Nurse Practitioner based in Lavale, MD and is specialized in Adult Health. Mary Tola practices in Cumberland, MD and has the professional credentials of CRNP. The NPI Number for Mary Tola is 1588717367 and holds a License No. R062454 (Maryland).

The current practice location address for Mary Tola is 12502 Willowbrook Rd, Cumberland, MD and can be reached out via phone at 240-964-8787 and via fax at 240-964-8687.

Location: 12502 Willowbrook Rd, Cumberland, MD, 21502-6026
person
Provider Profile Details
NPI Number
1588717367
Provider Name
Mary Tola
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
12502 Willowbrook Rd, Cumberland, MD, 21502-6026
Phone Number
240-964-8787
Fax Number
240-964-8687
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
621091100 05 MD
institution
Provider Business Practice Location Address Details
Address
12502 Willowbrook Rd
City
State
Zip
21502-6491
Phone Number
240-964-8787
Fax Number
240-964-8687
person
Provider Business Mailing Address Details
Address
12502 Willowbrook Rd
City
State
Zip
21502-6491
Phone Number
240-964-8787
Fax Number
240-964-8687
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
R062454 (Maryland)
Definition
Definition to come...
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