Basic Information
Provider Information
NPI: 1689605222
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: APPLEBY
FirstName: TONYA
MiddleName: L.
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 500 UPPER CHESAPEAKE DR
Address2: ADULT HOSPITALIST DEPT
City: BEL AIR
State: MD
PostalCode: 210144324
CountryCode: US
TelephoneNumber: 4436431500
FaxNumber: 4436431505
Practice Location
Address1: 500 UPPER CHESAPEAKE DR
Address2: ADULT HOSPITALIST DEPT
City: BEL AIR
State: MD
PostalCode: 210144324
CountryCode: US
TelephoneNumber: 4436431500
FaxNumber: 4436431505
Other Information
ProviderEnumerationDate: 07/05/2006
LastUpdateDate: 04/01/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XR120938MDY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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