Provider Demographics
NPI:1184181661
Name:BIAS, TONYA A (LPN)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:A
Last Name:BIAS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 SUGAR CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SAINT MARTINVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70582-6532
Mailing Address - Country:US
Mailing Address - Phone:337-692-0188
Mailing Address - Fax:
Practice Address - Street 1:224 SAINT LANDRY ST STE 2C
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3578
Practice Address - Country:US
Practice Address - Phone:337-291-1137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA20130441164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse