Provider Demographics
NPI:1386839033
Name:STANLEY-BERRY, TONYA ANN (RN/BSN)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:ANN
Last Name:STANLEY-BERRY
Suffix:
Gender:F
Credentials:RN/BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3352 WHEATCROFT DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-6159
Mailing Address - Country:US
Mailing Address - Phone:513-410-5914
Mailing Address - Fax:
Practice Address - Street 1:3352 WHEATCROFT DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-6159
Practice Address - Country:US
Practice Address - Phone:513-410-5914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2010-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH296697163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse