Toller Enterprises LLC
NPI #1417846932 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1417846932
- Entity Type
- Organization
- Organization Name
- Toller Enterprises LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jun 30, 2025
- Last Updated
- Jul 3, 2025
Practice Location
- Address
- 3000 N RIDGE RD
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21043-3311
- Phone
- (410) 461-7577
Authorized Official
- Name
- WALTER LEWIS TOLLER
- Title
- OWNER
- Phone
- (667) 207-3552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Pain Medicine — Pain Medicine |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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