Provider Demographics
NPI:1891585014
Name:TOBY, NIPPY SYLVESTER
Entity type:Individual
Prefix:
First Name:NIPPY
Middle Name:SYLVESTER
Last Name:TOBY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 TUFTS LN
Mailing Address - Street 2:
Mailing Address - City:DIXON
Mailing Address - State:CA
Mailing Address - Zip Code:95620-9351
Mailing Address - Country:US
Mailing Address - Phone:916-410-1621
Mailing Address - Fax:
Practice Address - Street 1:1215 TUFTS LN
Practice Address - Street 2:
Practice Address - City:DIXON
Practice Address - State:CA
Practice Address - Zip Code:95620-9351
Practice Address - Country:US
Practice Address - Phone:916-410-1621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA228646164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse