Provider Demographics
NPI:1861612392
Name:TOULOUSE, SHANYN A (DNP, MED, RN, NCSN)
Entity type:Individual
Prefix:DR
First Name:SHANYN
Middle Name:A
Last Name:TOULOUSE
Suffix:
Gender:F
Credentials:DNP, MED, RN, NCSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 IRVING AVE
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-3530
Mailing Address - Country:US
Mailing Address - Phone:978-374-5309
Mailing Address - Fax:978-521-2656
Practice Address - Street 1:11 TAMARAC DR
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-2817
Practice Address - Country:US
Practice Address - Phone:978-761-2307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA254214163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool