Provider Demographics
NPI:1114565231
Name:TOOLEY, JOSIAH LUKE (FNP)
Entity Type:Individual
Prefix:MR
First Name:JOSIAH
Middle Name:LUKE
Last Name:TOOLEY
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2990 N CAMPBELL AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-2995
Mailing Address - Country:US
Mailing Address - Phone:520-777-7725
Mailing Address - Fax:520-770-8299
Practice Address - Street 1:2990 N CAMPBELL AVE STE 230
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2995
Practice Address - Country:US
Practice Address - Phone:520-777-7725
Practice Address - Fax:520-770-8299
Is Sole Proprietor?:No
Enumeration Date:2019-12-19
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRNP235742363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily