Provider Demographics
NPI:1568951986
Name:FREEMAN, TONYA C (RN)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:C
Last Name:FREEMAN
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 1:404 W RIVER ST
Mailing Address - Street 2:
Mailing Address - City:COLERAIN
Mailing Address - State:NC
Mailing Address - Zip Code:27924-8879
Mailing Address - Country:US
Mailing Address - Phone:252-642-4666
Mailing Address - Fax:252-356-9954
Practice Address - Street 1:404 W RIVER ST
Practice Address - Street 2:
Practice Address - City:COLERAIN
Practice Address - State:NC
Practice Address - Zip Code:27924-8879
Practice Address - Country:US
Practice Address - Phone:252-642-4666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home