Provider Demographics
NPI:1982101051
Name:ROOD, TOBY CHRISTOPHER (RN, NP-C)
Entity Type:Individual
Prefix:
First Name:TOBY
Middle Name:CHRISTOPHER
Last Name:ROOD
Suffix:
Gender:M
Credentials:RN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2392 ADDISON AVE E
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-6745
Mailing Address - Country:US
Mailing Address - Phone:208-933-4440
Mailing Address - Fax:
Practice Address - Street 1:2392 ADDISON AVE E
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-6745
Practice Address - Country:US
Practice Address - Phone:208-933-4440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDN-39355163W00000X
ID70721207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No163W00000XNursing Service ProvidersRegistered Nurse