Provider Demographics
NPI:1083925846
Name:DONAHUE, TONYA KAY (RN)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:KAY
Last Name:DONAHUE
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 1:1941 US HIGHWAY 23
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-9553
Mailing Address - Country:US
Mailing Address - Phone:740-947-2577
Mailing Address - Fax:
Practice Address - Street 1:1941 US HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-9553
Practice Address - Country:US
Practice Address - Phone:740-947-2577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-27
Last Update Date:2010-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.360465163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health