Tamara Jeanne Setola CPNP

NPI 1003167420 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1003167420
Gender Female
Enumeration Date 09/25/2012
Last Updated 01/03/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
7001 JOHNNYCAKE RD STE 101
BALTIMORE MD, 21244-2419, US
Phone (410) 719-0063
Fax
Business Location
7001 JOHNNYCAKE RD STE 101
BALTIMORE MD, 21244-2419, US
Phone (410) 804-3919
Fax (410) 719-6338
Toxanomy
Taxonomy Code 363LP0200X
License State Maryland
License Number R114538
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According to our database, Mrs. Tamara Jeanne Setola CPNP NPI is 1003167420, taxonomy code is 363LP0200X and license number is R114538, license state is located at Maryland. Tamara Jeanne Setola CPNP physically located at 7001 Johnnycake Rd Ste 101, Baltimore MD, 21244-2419. NPI Number Tamara Jeanne Setola CPNP has the Individual type.

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1003167420 NPI number is provided on an as is basis without warranty of any kind. 1003167420 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara Jeanne Setola CPNP are for informational purposes only.