Provider Demographics
NPI:1417403049
Name:TOOMBS, ERIN WALKER (APRN)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:WALKER
Last Name:TOOMBS
Suffix:
Gender:F
Credentials:APRN
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2605 KENTUCKY AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-3800
Mailing Address - Country:US
Mailing Address - Phone:270-415-7653
Mailing Address - Fax:270-575-8359
Practice Address - Street 1:2601 KENTUCKY AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-3817
Practice Address - Country:US
Practice Address - Phone:270-415-4860
Practice Address - Fax:270-575-8359
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3010573363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily