Provider Demographics
NPI:1225917727
Name:WISSEH, TOKA (RN)
Entity type:Individual
Prefix:MS
First Name:TOKA
Middle Name:
Last Name:WISSEH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:COLLINGDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19023-1818
Mailing Address - Country:US
Mailing Address - Phone:267-201-1878
Mailing Address - Fax:
Practice Address - Street 1:31 CHERRY ST
Practice Address - Street 2:
Practice Address - City:COLLINGDALE
Practice Address - State:PA
Practice Address - Zip Code:19023-1818
Practice Address - Country:US
Practice Address - Phone:267-201-1878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN746168163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse