Provider Demographics
NPI:1437370814
Name:ATKINSON, TANYA SUE (RN)
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:SUE
Last Name:ATKINSON
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 1:6 KEYSTONE CT
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-7239
Mailing Address - Country:US
Mailing Address - Phone:530-895-1174
Mailing Address - Fax:
Practice Address - Street 1:130 BRENTWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:CA
Practice Address - Zip Code:96020-0737
Practice Address - Country:US
Practice Address - Phone:530-258-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA808820163W00000X
CAVN213072164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164X00000XNursing Service ProvidersLicensed Vocational Nurse