Provider Demographics
NPI:1699002782
Name:TONEY, TAMI LYNN (CMA (AAMA))
Entity Type:Individual
Prefix:MS
First Name:TAMI
Middle Name:LYNN
Last Name:TONEY
Suffix:
Gender:F
Credentials:CMA (AAMA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 ADA WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-2414
Mailing Address - Country:US
Mailing Address - Phone:850-469-9663
Mailing Address - Fax:
Practice Address - Street 1:218 ADA WILSON AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32507-2414
Practice Address - Country:US
Practice Address - Phone:850-469-9663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL63587164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse