Provider Demographics
NPI:1629830476
Name:TOLMAN, KATELIN (RN)
Entity Type:Individual
Prefix:MRS
First Name:KATELIN
Middle Name:
Last Name:TOLMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 LAKE SHORE AVE
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-5104
Mailing Address - Country:US
Mailing Address - Phone:603-303-2558
Mailing Address - Fax:
Practice Address - Street 1:3 LAKE SHORE AVE
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-5104
Practice Address - Country:US
Practice Address - Phone:603-303-2558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH064550-21163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse