Individual
TINA RENEE TOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1249 15TH ST, SUITE 3000, HUNTINGTON, WV 25701-3662
(304) 691-1000
(304) 691-1693
Mailing address
PO BOX 88, 5 E ALVON ROAD SUITE 7, WHITE SULPHUR SPRINGS, WV 24986-2373
(304) 536-5030
(304) 536-5031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
49197
KY
363LF0000X
Family Nurse Practitioner
Primary
57295
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3115033
—
OH
05
—
3810018757
—
WV
05
—
7100144750
—
KY
Enumeration date
07/07/2010
Last updated
11/18/2021
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