Healthcare Provider Details
I. General information
NPI: 1083081806
Provider Name (Legal Business Name): AMBER MARIE TOOMEY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/27/2015
Last Update Date: 12/02/2022
Certification Date: 12/02/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
384 SE COMBS FLAT RD STE 1200
PRINEVILLE OR
97754-2562
US
IV. Provider business mailing address
PO BOX 7287
BEND OR
97708-7287
US
V. Phone/Fax
- Phone: 541-447-6263
- Fax: 541-447-8724
- Phone: 541-447-6263
- Fax: 541-447-8724
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 201504137NP-PP |
| License Number State | OR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: