Provider Demographics
NPI:1710319132
Name:DRUKTENIS, TONYA KAY (LPN)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:KAY
Last Name:DRUKTENIS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:KAY
Other - Last Name:BLANKENSHIP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1663 S RIDGE W
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004
Mailing Address - Country:US
Mailing Address - Phone:440-969-0243
Mailing Address - Fax:
Practice Address - Street 1:1663 S RIDGE W
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-9366
Practice Address - Country:US
Practice Address - Phone:440-969-0243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH142354-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse