Provider Demographics
NPI:1700022480
Name:TONEY, SHERREE (PA-C)
Entity Type:Individual
Prefix:
First Name:SHERREE
Middle Name:
Last Name:TONEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 NEW JERSEY AVE SE STE 500
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3326
Mailing Address - Country:US
Mailing Address - Phone:202-715-7900
Mailing Address - Fax:
Practice Address - Street 1:300 INDIANA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-2106
Practice Address - Country:US
Practice Address - Phone:202-715-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPA030565363AM0700X
MDC0003873363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCPA030565OtherDISTRICT OF COLUMBIA/HEALTH PROFESSIONAL LICENSING ADMIN/BOARD OF MEDICINE
MDC0003873OtherMARYLAND DEPT OF HEALTH AND MENTAL HYGIENE CERTIFICATON/ BOARD OF MEDICINE