Provider Demographics
NPI:1245676881
Name:TOMS, MARGIANNA STOTELMYER (CRNM CRNP)
Entity type:Individual
Prefix:MS
First Name:MARGIANNA
Middle Name:STOTELMYER
Last Name:TOMS
Suffix:
Gender:F
Credentials:CRNM CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15844 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-1152
Mailing Address - Country:US
Mailing Address - Phone:301-992-3724
Mailing Address - Fax:
Practice Address - Street 1:15844 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-1152
Practice Address - Country:US
Practice Address - Phone:301-992-3724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR070103367A00000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife