Healthcare Provider Details

I. General information

NPI: 1922062264
Provider Name (Legal Business Name): DEBRA GAIL TOKHEIM R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 E JOHNSON ST
RIVER FALLS WI
54022-3020
US

IV. Provider business mailing address

415 E JOHNSON ST
RIVER FALLS WI
54022-3020
US

V. Phone/Fax

Practice location:
  • Phone: 715-425-0488
  • Fax:
Mailing address:
  • Phone: 715-425-0488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number93658-030
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: