Provider Demographics
NPI:1700061579
Name:TOON, SHEILA JOANN (ARNP, FNP)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:JOANN
Last Name:TOON
Suffix:
Gender:F
Credentials:ARNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LARNED
Mailing Address - State:KS
Mailing Address - Zip Code:67550-3104
Mailing Address - Country:US
Mailing Address - Phone:620-804-2691
Mailing Address - Fax:620-285-8996
Practice Address - Street 1:112 E 6TH ST
Practice Address - Street 2:
Practice Address - City:LARNED
Practice Address - State:KS
Practice Address - Zip Code:67550-3104
Practice Address - Country:US
Practice Address - Phone:620-804-2691
Practice Address - Fax:620-285-8996
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-29
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45341363LF0000X
KS53-45341-101367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS111407OtherBC/BS