Provider Demographics
NPI:1275269805
Name:TOROCSIK, TAMMY E (RN MS)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:E
Last Name:TOROCSIK
Suffix:
Gender:F
Credentials:RN MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3231 OLD GUN RD W
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-2009
Mailing Address - Country:US
Mailing Address - Phone:804-347-9724
Mailing Address - Fax:
Practice Address - Street 1:4840 WALLER RD STE 200
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-2912
Practice Address - Country:US
Practice Address - Phone:804-893-5010
Practice Address - Fax:804-412-8105
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA20870252Y00000X
VA0001103228163WN0002X, 163WM0102X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
No252Y00000XAgenciesEarly Intervention Provider Agency
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0001103228OtherRN LICENSE