Provider Demographics
NPI:1295573277
Name:TOAY, KRISTIN (FNP-C)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:TOAY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2854 LILAC LN N
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102-1703
Mailing Address - Country:US
Mailing Address - Phone:701-541-3789
Mailing Address - Fax:
Practice Address - Street 1:803 BELSLY BLVD # 2
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-5057
Practice Address - Country:US
Practice Address - Phone:218-236-7145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND200095363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily