Provider Demographics
NPI:1609386226
Name:TOSH, KAREN DAVIS (NP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:DAVIS
Last Name:TOSH
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1815 COOKS HILL RD STE B
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-9170
Mailing Address - Country:US
Mailing Address - Phone:360-807-5029
Mailing Address - Fax:360-807-5051
Practice Address - Street 1:1815 COOKS HILL RD STE B
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-9170
Practice Address - Country:US
Practice Address - Phone:360-807-5029
Practice Address - Fax:360-807-5051
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2024-05-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA243380363LP2300X
WAAP60865821363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care