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NPI Code Detail

MEDICARE: JOYCE ELAINE TOBIAS APRN

MEDICARE: JOYCE ELAINE TOBIAS APRN
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
1363LF0000XFamily Nurse PractitionerAP30007185WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851347454
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOYCE ELAINE TOBIAS APRN
Provider Business Mailing Address
First Line : PO BOX 2429
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-8486
Country : US
Telephone Number : 360-575-8275
Fax Number : 360-575-1948
Provider Business Practice Location Address
First Line : 1044 11TH AVE
Second Line : SUITE A
City : LONGVIEW
State : WA
Zip : 98632-2506
Country : US
Telephone Number : 360-575-8275
Fax Number : 360-575-1948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 09/16/2011

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Directions to “ JOYCE ELAINE TOBIAS APRN” Practice Location

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