Provider Demographics
NPI:1497139265
Name:TOLER, JULIA BETH (CNM)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:BETH
Last Name:TOLER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2130 EUBANK BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-2923
Mailing Address - Country:US
Mailing Address - Phone:505-272-2245
Mailing Address - Fax:505-272-1109
Practice Address - Street 1:601 E ROLLINS ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1248
Practice Address - Country:US
Practice Address - Phone:407-975-0406
Practice Address - Fax:407-975-0407
Is Sole Proprietor?:No
Enumeration Date:2015-07-11
Last Update Date:2023-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC623367A00000X
NM702367A00000X, 367A00000X
FLAPRN9468801367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife