Individual
MS. NICOLE DIANE LOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6701 N CHARLES ST, SUITE 4105, BALTIMORE, MD 21204-6808
(443) 849-3184
Mailing address
6701 N CHARLES ST, SUITE 4105, BALTIMORE, MD 21204-6808
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R182123
MD
363LG0600X
Gerontology Nurse Practitioner
R182123
MD
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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