Provider Demographics
NPI:1326664863
Name:TOOMEY, KATHERINE LAURA (RN BSN)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LAURA
Last Name:TOOMEY
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1573 HARRIS RD
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-1813
Mailing Address - Country:US
Mailing Address - Phone:585-278-8339
Mailing Address - Fax:
Practice Address - Street 1:1573 HARRIS RD
Practice Address - Street 2:
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-1813
Practice Address - Country:US
Practice Address - Phone:585-278-8339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-21
Last Update Date:2020-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY434195163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse