Healthcare Provider Details

I. General information

NPI: 1548241342
Provider Name (Legal Business Name): DOLORES PASION TONEY DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DOLORES PASION CRUZ DNP, FNP-C

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 05/12/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BG CRAWFORD F. SAMS HEALTH CLINIC UNIT 45011
APO AP
96343-5011
US

IV. Provider business mailing address

BG CRAWFORD F. SAMS HEALTH CLINIC UNIT 45011
APO AP
96343-5011
US

V. Phone/Fax

Practice location:
  • Phone: 315-263-5259
  • Fax:
Mailing address:
  • Phone: 315-263-5259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60573937
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00148532
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: