Provider Demographics
NPI:1962100362
Name:TOOMEY, SEAN P (NP)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:P
Last Name:TOOMEY
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 GIBSON HILL RD
Mailing Address - Street 2:
Mailing Address - City:GREENE
Mailing Address - State:RI
Mailing Address - Zip Code:02827-1924
Mailing Address - Country:US
Mailing Address - Phone:401-338-1323
Mailing Address - Fax:
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN57276163W00000X
RIAPRN03460363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse