Individual
MARYANNE O'TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
49 HARRY KEMP WAY, PROVINCETOWN, MA 02657
(508) 487-9395
(508) 487-3285
Mailing address
PO BOX 1413, WELLFLEET, MA 02667
(508) 240-0208
(508) 240-0499
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
190922
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0710822
—
MA
01
—
NP0166
CONNECTICARE
MA
Enumeration date
10/17/2006
Last updated
12/08/2011
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