Provider Demographics
NPI:1467681577
Name:AUSTIN, TONYA M (CRNP)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:M
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:619 19TH ST S # MEB508
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-6908
Mailing Address - Country:US
Mailing Address - Phone:205-975-5516
Mailing Address - Fax:205-934-0655
Practice Address - Street 1:619 19TH ST S FL WP3
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-1900
Practice Address - Country:US
Practice Address - Phone:205-934-7102
Practice Address - Fax:205-975-5776
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-0979212084N0400X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology