Provider Demographics
NPI:1790220606
Name:NERINI, TONIA MARIEANNETTE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:TONIA
Middle Name:MARIEANNETTE
Last Name:NERINI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34294 STATE HIGHWAY FF
Mailing Address - Street 2:
Mailing Address - City:BEVIER
Mailing Address - State:MO
Mailing Address - Zip Code:63532-2305
Mailing Address - Country:US
Mailing Address - Phone:660-346-8558
Mailing Address - Fax:
Practice Address - Street 1:34294 STATE HIGHWAY FF
Practice Address - Street 2:
Practice Address - City:BEVIER
Practice Address - State:MO
Practice Address - Zip Code:63532
Practice Address - Country:US
Practice Address - Phone:660-346-8558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-31
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOAG06180137363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner