Individual
TONYA M. PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 496-7572
Mailing address
1838 GREENE TREE RD STE 180, PIKESVILLE, MD 21208-7100
(410) 602-7782
(410) 602-9344
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R152221
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412846000
—
MD
Enumeration date
04/11/2007
Last updated
12/22/2023
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