Provider Demographics
NPI:1174484984
Name:CASTLE, TONYA D
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:D
Last Name:CASTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 UPSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25053-6885
Mailing Address - Country:US
Mailing Address - Phone:304-369-0451
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 247
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WV
Practice Address - Zip Code:25130-0247
Practice Address - Country:US
Practice Address - Phone:304-561-5256
Practice Address - Fax:304-561-5256
Is Sole Proprietor?:No
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant