Provider Demographics
NPI:1750040267
Name:TOOHEY, DONNA LYNN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LYNN
Last Name:TOOHEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ISHAM HILL RD
Mailing Address - Street 2:
Mailing Address - City:WEST DANVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05873-4418
Mailing Address - Country:US
Mailing Address - Phone:802-505-5005
Mailing Address - Fax:
Practice Address - Street 1:600 SAINT JOHNSBURY RD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-3442
Practice Address - Country:US
Practice Address - Phone:603-444-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-12
Last Update Date:2021-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH050380-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily