Doctor Name: | MR. DAMON N TOCZYLOWSKI |
NPI Number: | 1174894612 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | 4749-33 |
Business Practice Address: | 4700 Las Vegas Blvd N Nellis Afb, NV - 891916600 |
Business Phone Number: | 7026533560 |
Business Fax Number: | |
Mailing Address: | 4700 Las Vegas Blvd N, NELLIS AFB |
State: | NV |
Postal Code: | 891916600 |
Phone Number: | 7026533560 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2012 |
NPI Last Update Date: | 01/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2100X |
License Number: | 4749-33 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |