| Doctor Name: | MRS. TAMARA JEANNE SETOLA |
| NPI Number: | 1003167420 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | R114538 |
| Business Practice Address: | 7001 Johnnycake Rd Ste 101 Baltimore, MD - 212442419 |
| Business Phone Number: | 4107190063 |
| Business Fax Number: | |
| Mailing Address: | 7001 Johnnycake Rd Ste 101, BALTIMORE |
| State: | MD |
| Postal Code: | 212442419 |
| Phone Number: | 4108043919 |
| Fax Number: | 4107196338 |
| NPI Enumeration Date: | 09/25/2012 |
| NPI Last Update Date: | 01/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | R114538 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |