Provider Demographics
NPI:1851672471
Name:STARR, TONIA ELIZABETH (LPN)
Entity Type:Individual
Prefix:MS
First Name:TONIA
Middle Name:ELIZABETH
Last Name:STARR
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 1:2415 WALDEN GLEN CIR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-1403
Mailing Address - Country:US
Mailing Address - Phone:513-693-3894
Mailing Address - Fax:
Practice Address - Street 1:2415 WALDEN GLEN CIR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1403
Practice Address - Country:US
Practice Address - Phone:513-693-3894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN095992164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse