MEDICARE: MS. TOBY FAYE SAWYER RN, WHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	R 21173-5	MN
2	363LW0102X	Women's Health Nurse Practitioner	17072	TN

General Provider Information

NPI Number	:	1437496700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TOBY FAYE SAWYER RN, WHNP

Provider Business Mailing Address
First Line	:	1900 SAINT LOUIS AVE
Second Line	:	APT 316
City	:	DULUTH
State	:	MN
Zip	:	55802-2461
Country	:	US
Telephone Number	:	615-775-1999
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 E CENTRAL ENTRANCE STE 200
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55811-5525
Country	:	US
Telephone Number	:	218-722-0833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2013
Last Update Date	:	01/14/2013

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