Healthcare Provider Details

I. General information

NPI: 1194978619
Provider Name (Legal Business Name): PHYLLIS ANN TOOMEY RN, BSN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 10/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32060 LONG NECK RD
MILLSBORO DE
19966-6228
US

IV. Provider business mailing address

32060 LONG NECK RD
MILLSBORO DE
19966-6228
US

V. Phone/Fax

Practice location:
  • Phone: 302-947-2500
  • Fax:
Mailing address:
  • Phone: 302-947-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberL1-0012223
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: