Provider Demographics
NPI:1003582511
Name:RATTE, TONYA L (RN)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:L
Last Name:RATTE
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 1:475 UNION ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855-5499
Mailing Address - Country:US
Mailing Address - Phone:802-334-0110
Mailing Address - Fax:802-334-7208
Practice Address - Street 1:475 UNION ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-5499
Practice Address - Country:US
Practice Address - Phone:802-334-0110
Practice Address - Fax:802-334-7208
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026.0142902163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse