Provider Demographics
NPI:1730493511
Name:HOYLE, JOANNE (RN, LMT)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:HOYLE
Suffix:
Gender:F
Credentials:RN, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6213 BELMONT CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-8038
Mailing Address - Country:US
Mailing Address - Phone:301-829-5475
Mailing Address - Fax:
Practice Address - Street 1:710 LISBON CENTER DR
Practice Address - Street 2:SUITE H
Practice Address - City:WOODBINE
Practice Address - State:MD
Practice Address - Zip Code:21797-8629
Practice Address - Country:US
Practice Address - Phone:301-829-5475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR059757163WM1400X
MDM03981225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist