Provider Demographics
NPI:1255226528
Name:OLIVER, TONYA S
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:S
Last Name:OLIVER
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 1:1754 CIRCLE DR SW
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-7503
Mailing Address - Country:US
Mailing Address - Phone:330-987-1017
Mailing Address - Fax:330-987-1017
Practice Address - Street 1:1754 CIRCLE DR SW
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-7503
Practice Address - Country:US
Practice Address - Phone:330-987-1017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health