Provider Demographics
NPI:1013899483
Name:TOLMAN, KARLY (LPN)
Entity type:Individual
Prefix:
First Name:KARLY
Middle Name:
Last Name:TOLMAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:KARLY
Other - Middle Name:
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:19825 N 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4305
Mailing Address - Country:US
Mailing Address - Phone:623-445-3932
Mailing Address - Fax:
Practice Address - Street 1:19825 N 15TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4305
Practice Address - Country:US
Practice Address - Phone:623-445-3932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP048598164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse