Provider Demographics
NPI:1437496700
Name:SAWYER, TOBY FAYE (RN, WHNP)
Entity Type:Individual
Prefix:MS
First Name:TOBY
Middle Name:FAYE
Last Name:SAWYER
Suffix:
Gender:F
Credentials:RN, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 SAINT LOUIS AVE
Mailing Address - Street 2:APT 316
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-2461
Mailing Address - Country:US
Mailing Address - Phone:615-775-1999
Mailing Address - Fax:
Practice Address - Street 1:1001 E CENTRAL ENTRANCE STE 200
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55811-5525
Practice Address - Country:US
Practice Address - Phone:218-722-0833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 21173-5363LW0102X
TN17072363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health