Provider Demographics
NPI:1417486226
Name:FIELDS, TONYA MICHELE (RN)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:MICHELE
Last Name:FIELDS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROMNEY
Mailing Address - State:WV
Mailing Address - Zip Code:26757-1828
Mailing Address - Country:US
Mailing Address - Phone:304-822-4830
Mailing Address - Fax:304-822-4239
Practice Address - Street 1:301 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ROMNEY
Practice Address - State:WV
Practice Address - Zip Code:26757-1828
Practice Address - Country:US
Practice Address - Phone:304-822-4830
Practice Address - Fax:304-822-4239
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV89379163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool