Healthcare Provider Details

I. General information

NPI: 1588455919
Provider Name (Legal Business Name): ALISON TOEPFER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8579 COMMERCE DR STE 106
EASTON MD
21601-7420
US

IV. Provider business mailing address

8579 COMMERCE DR STE 106
EASTON MD
21601-7420
US

V. Phone/Fax

Practice location:
  • Phone: 410-819-0404
  • Fax:
Mailing address:
  • Phone: 410-819-0404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR209716
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: