Provider Demographics
NPI:1881117869
Name:TORNIO, AMY (PSYCHIATRIC NP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:TORNIO
Suffix:
Gender:F
Credentials:PSYCHIATRIC NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:WI
Mailing Address - Zip Code:54829-9192
Mailing Address - Country:US
Mailing Address - Phone:715-557-0285
Mailing Address - Fax:
Practice Address - Street 1:2835 S SERVICE DR STE 103
Practice Address - Street 2:
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066-1835
Practice Address - Country:US
Practice Address - Phone:651-327-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5267363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health