Provider Demographics
NPI:1659651305
Name:BARCROFT, TONYA MARIE (LPN)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:MARIE
Last Name:BARCROFT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 CLAYBERG RD
Mailing Address - Street 2:LOT 116
Mailing Address - City:GREENWICH
Mailing Address - State:OH
Mailing Address - Zip Code:44837-9606
Mailing Address - Country:US
Mailing Address - Phone:419-571-1420
Mailing Address - Fax:
Practice Address - Street 1:1121 CLAYBERG RD
Practice Address - Street 2:LOT 116
Practice Address - City:GREENWICH
Practice Address - State:OH
Practice Address - Zip Code:44837-9606
Practice Address - Country:US
Practice Address - Phone:419-571-1420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN140802164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse