Setola, Tamara Jeanne

Setola, Tamara Jeanne is an individual health care provider with primary practice located at 7001 Johnnycake Rd Ste 101 , Baltimore MD 21244-2419. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Setola, Tamara Jeanne can be contacted via phone (410) 719-0063.

Contact Information

Primary practice address
7001 Johnnycake Rd Ste 101 Baltimore MD 21244-2419
Phone: (410) 719-0063
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R114538 Maryland

Profile Details

NPI number 1003167420
LBN Legal business name Setola, Tamara Jeanne
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2012
Last updated Jan 3rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003167420 NPPES
Maryland Other 1992794051 GROUP NPI NUMBER

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