Provider Demographics
NPI:1528790086
Name:TOMEY, ANDREA (PMHNP)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:TOMEY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 KNOLLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47501-2134
Mailing Address - Country:US
Mailing Address - Phone:812-698-7325
Mailing Address - Fax:
Practice Address - Street 1:2007 STATE ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47501-8505
Practice Address - Country:US
Practice Address - Phone:812-254-1558
Practice Address - Fax:812-254-8308
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-24
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28156731A363LP0808X, 163WP0808X
IN71012872A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health