DWAYNE M TOOMER


Address: 718 Addison St Apt E, Philadelphia, PA 19147-1353
Phone: 2152940817

DWAYNE M TOOMER (NPI# 1396050720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396050720
Entity Type Individual
Full Name DWAYNE M TOOMER
Practice Address 718 Addison St Apt E
Philadelphia
PA 19147-1353
Practice Telephone 2152940817
Mailing Telephone 2152940817
Enumeration Date 2010-08-10
Last Update Date 2020-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
403026 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 718 ADDISON ST APT E
City PHILADELPHIA
State PA
Zip Code 19147-1353

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1396269247 Sara Parente Social Worker 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 2017-08-02
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1104440940 Patricia Cecilia Castillo Nurse Practitioner 49204 Delaire Landing Rd, Philadelphia, PA 19114-5329 2020-06-06
1184271074 Clement John Nurse Practitioner 3253 N 6th St, Philadelphia, PA 19140-5644 2019-08-25
1558915967 Latoya Mohammed Nurse Practitioner 3300 Henry Ave Ste 3n, Philadelphia, PA 19129-1141 2019-07-25
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1790195386 Thomasean Britten Nurse Practitioner 449 Parker Ave, Philadelphia, PA 19128-4403 2014-05-05
1891048377 Elizabeth Ann Milburn Nurse Practitioner 1528 Walnut St Ste 1414, Philadelphia, PA 19102-3610 2012-10-20
1336410851 Justin Egoville Nurse Practitioner 80001 State Rd., Mhm Correctional Services, Mod II, Philadelphia, PA 19136-0000 2012-01-13
1225353840 Noel Palmer Nurse Practitioner 16270 Highway 21 S, Philadelphia, MS 39350-7762 2010-04-07
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Competitor

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City PHILADELPHIA
Zip Code 19147

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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