Healthcare Provider Details

I. General information

NPI: 1154705572
Provider Name (Legal Business Name): ASHLEY LOUISE TOBEY PMH-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2015
Last Update Date: 02/19/2021
Certification Date: 02/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR
LOWELL MA
01852-1311
US

IV. Provider business mailing address

295 VARNUM AVE
LOWELL MA
01854-2193
US

V. Phone/Fax

Practice location:
  • Phone: 978-934-8515
  • Fax: 978-934-8517
Mailing address:
  • Phone: 978-934-8515
  • Fax: 978-934-8517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN282844
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberRN282844
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: