Healthcare Provider Details

I. General information

NPI: 1962100362
Provider Name (Legal Business Name): SEAN P. TOOMEY NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2023
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 DUDLEY ST COOP 1
PROVIDENCE RI
02905-3236
US

IV. Provider business mailing address

725 GIBSON HILL RD
GREENE RI
02827-1924
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-4000
  • Fax:
Mailing address:
  • Phone: 401-338-1323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN03460
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN57276
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: