Provider Demographics
NPI:1760638936
Name:MINTON, TONDA (RN)
Entity Type:Individual
Prefix:
First Name:TONDA
Middle Name:
Last Name:MINTON
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 1:320 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:KY
Mailing Address - Zip Code:42206-5108
Mailing Address - Country:US
Mailing Address - Phone:270-542-8280
Mailing Address - Fax:
Practice Address - Street 1:4230 HARDING RD STE 300
Practice Address - Street 2:MEDICAL PLAZA EAST
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2158
Practice Address - Country:US
Practice Address - Phone:615-783-1269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1035234163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse