Provider Demographics
NPI:1275218752
Name:HOOD, TONYA MARIE (LPN)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:MARIE
Last Name:HOOD
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 1:5551 WINSHIRE TER
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45440-3930
Mailing Address - Country:US
Mailing Address - Phone:937-239-9871
Mailing Address - Fax:
Practice Address - Street 1:5551 WINSHIRE TER
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440-3930
Practice Address - Country:US
Practice Address - Phone:937-239-9871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.160811.MED-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse