Provider Demographics
NPI:1003678590
Name:POWERS, TONYA CHRISTINE (RN, APN, CNS)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:CHRISTINE
Last Name:POWERS
Suffix:
Gender:F
Credentials:RN, APN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:773 S GALENA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1946
Mailing Address - Country:US
Mailing Address - Phone:303-656-1118
Mailing Address - Fax:
Practice Address - Street 1:4500 E 9TH AVE STE 540
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3924
Practice Address - Country:US
Practice Address - Phone:303-329-8998
Practice Address - Fax:303-388-1865
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO104500163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse