Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TOBIN JACOB TITO, AGPCNP-BC
ActiveMR. TOBIN JACOB TITO, AGPCNP-BC is a Gerontological Nurse Practitioner healthcare provider located in KENOSHA, Wisconsin. NPI 1124616602 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · KENOSHA, WI
Registration Details
- NPI Number
- 1124616602
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2021 (5.5538162102398 yrs)
- Last Updated
- Jan 9, 2021
- License
-
209.021978 (IL)
Practice Information
- Address
-
6308 8TH AVEKENOSHA, WI, 531435031Browse WI providers · Browse ZIP 53143
- Phone
- 8474313838
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.