Provider Demographics
NPI:1548806136
Name:TOTH, HEIDI M (RN, MSN)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:M
Last Name:TOTH
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 SAMUEL CT
Mailing Address - Street 2:
Mailing Address - City:LINCROFT
Mailing Address - State:NJ
Mailing Address - Zip Code:07738-1407
Mailing Address - Country:US
Mailing Address - Phone:908-907-0065
Mailing Address - Fax:
Practice Address - Street 1:117 SAMUEL CT
Practice Address - Street 2:
Practice Address - City:LINCROFT
Practice Address - State:NJ
Practice Address - Zip Code:07738-1407
Practice Address - Country:US
Practice Address - Phone:908-907-0065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO08115500163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse