Patricia Ann-Marie Tolan, RN
Individual provider Active NPI Registered Nurse · Simpsonville, SC
NPI 1265054050 · NPPES record last updated May 14, 2020
Key facts
- NPI
- 1265054050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 253435 (SC)
- Practice address
- 209 W Fernwood Rd
Simpsonville, SC 29681-2913 - Phone
- (864) 923-6897
- NPI assigned
- May 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253435 | SC | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 253435 | SC | Yes |
Addresses
Primary practice location
209 W Fernwood Rd
Simpsonville, SC 29681-2913
Mailing address
209 W Fernwood Rd
Simpsonville, SC 29681-2913
Phone (864) 923-6897
Other providers in Simpsonville, SC
- Latasha Thompson
- Russell Thompson
- Allison Thorman
- Thrive Wellness and Performance, LLC.
- Sarah Tidswell
- Keith Daniel Tormey
- Total Family Dentistry PA
- Total Therapy Services
- Transforming Speech, LLC
- Tri-Care Clinic
All providers in Simpsonville, SC · Registered Nurse in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.