Provider Demographics
NPI:1437329208
Name:TOTTEN, MARIA L
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:L
Last Name:TOTTEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2248 E IL 250
Mailing Address - Street 2:
Mailing Address - City:NOBLE
Mailing Address - State:IL
Mailing Address - Zip Code:62868
Mailing Address - Country:US
Mailing Address - Phone:618-723-2111
Mailing Address - Fax:
Practice Address - Street 1:2248 E IL 250
Practice Address - Street 2:
Practice Address - City:NOBLE
Practice Address - State:IL
Practice Address - Zip Code:62868
Practice Address - Country:US
Practice Address - Phone:618-723-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter