Individual
ELIZABETH MARIE TOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2000
(859) 341-7867
Mailing address
340 THOMAS MORE PKWY STE 220, CHAPEL PLACE B, CRESTVIEW HILLS, KY 41017-5101
(717) 263-5562
(717) 263-1566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3010995
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/24/2016
Last updated
01/03/2017
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