WALTER LEWIS TOLLER III
Nurse Practitioner (Psych/Mental Health)

Address: 2439 E Lafayette Ave, Baltimore, MD 21213-2562

WALTER LEWIS TOLLER III (NPI# 1760060636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760060636
Entity Type Individual
Full Name WALTER LEWIS TOLLER III
Gender Male
Practice Address 2439 E Lafayette Ave
Baltimore
MD 21213-2562
Practice Telephone 4105306612
Practice Fax Number 4107474076
Mailing Address 2439 E Lafayette Ave
Baltimore
MD 21213-2562
Mailing Telephone 4105306612
Certification Date 2021-03-31
Enumeration Date 2021-03-31
Last Update Date 2021-03-31
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R197972 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2439 E LAFAYETTE AVE
City BALTIMORE
State MD
Zip Code 21213-2562

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821694084 Toller Enterprises LLC Nurse Practitioner - Family 2439 E Lafayette Ave, Baltimore, MD 21213-2562 2020-12-11
1821697533 Toller Enterprises LLC · Brighter Days Recovery Center Nurse Practitioner - Psych/Mental Health 2439 E Lafayette Ave, Baltimore, MD 21213-2562 2020-10-23

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1225651433 Debobeth Medical Center Clinic/Center - Mental Health (Including Community Mental Health Center) 3107-3109 Erdman Avenue, Baltimore, MD 21213 2020-05-21
1538627807 Beverly V Whittaker-Mcdermott · Beverly V Mcdermott Social Worker 3007 E. Biddle Street, Baltimore, MD 21213 2019-03-06
1700398914 Ags Programs LLC Clinic/Center - Mental Health (Including Community Mental Health Center) 1807 E. Preston Street, Wolfe Street Suite, Baltimore, MD 21213 2017-10-27
1912470204 Royal Minds Inc. · Royal Minds Rehabilitation Services Substance Abuse Rehabilitation Facility 3200 Clarence Ave, Baltimore, MD 21213-1133 2019-01-09
1356956676 The Elysian Fields Optimum Wellness and Mental Health Group, LLC Substance Abuse Rehabilitation Facility 2901 Erdman Ave, Baltimore, MD 21213-1139 2020-09-14
1760035356 The Elysian Fields Optimum Wellness and Mental Health Group, LLC Substance Abuse Rehabilitation Facility 2903 Erdman Ave, Baltimore, MD 21213-1139 2019-07-22
1245728575 Valerie Small Behavior Technician 2881 Pelham Ave, Baltimore, MD 21213-1219 2018-04-23
1528682366 Step One, LLC Community/Behavioral Health 3007 Belair Rd, Baltimore, MD 21213-1225 2020-06-07
1245857846 Alem N/A Tesfamariam Sr. Psychologist - Family 3233 Belair Rd, Baltimore, MD 21213-1227 2020-06-30
1144712217 Redeem Healthcare & Medical Systems, Inc Substance Abuse Rehabilitation Facility 3240 Belair Rd Fl 1, Baltimore, MD 21213-1228 2018-06-04
Find all providers in zip 21213

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790366193 Long Integrated Psychiatric Services LLC Nurse Practitioner - Psych/Mental Health 7652 Belair Rd Ste A, Baltimore, MD 21236-4067 2021-04-16
1477133395 Jami Townes Nurse Practitioner - Psych/Mental Health 6603 Copper Ridge Dr Apt T1, Baltimore, MD 21209-2148 2021-04-13
1578141602 Candace Womack Nurse Practitioner - Psych/Mental Health 2727 W Garrison Ave, Baltimore, MD 21215-5332 2021-03-30
1487249025 Olayemi Tosin Ayilegbe Nurse Practitioner - Psych/Mental Health 400 E Patapsco Ave, Baltimore, MD 21225-1830 2021-03-05
1497349997 Blue Spring Wellness Center LLC · Blue Spring Wellness Center LLC Nurse Practitioner - Psych/Mental Health 807 East Baltimore St, Unit 1a, Baltimore, MD 21202-5388 2021-02-24
1497347660 Mary Ranti Alabi Nurse Practitioner - Psych/Mental Health 3001 S Hanover Street, Baltimore, Md 21225, Baltimore, MD 21225-2122 2021-02-09
1083210447 Ashlee Joyce Crawford Nurse Practitioner - Psych/Mental Health 2 E Wells St Apt 356, Baltimore, MD 21230-4945 2020-12-09
1992308696 Marshall James Nurse Practitioner - Psych/Mental Health 601 N Eutaw St Apt 518, Baltimore, MD 21201-7410 2020-11-17
1013516590 Yohannes Berihun Tegegne Nurse Practitioner - Psych/Mental Health 11 E Lexington St Ste 600, Baltimore, MD 21202-1711 2020-10-26
1184233595 Imani House Medical Services Nurse Practitioner - Psych/Mental Health 6101 Park Heights Ave Apt 1d, Baltimore, MD 21215-3640 2020-07-31
Find all providers in BALTIMORE

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City BALTIMORE
Zip Code 21213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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