Provider Demographics
NPI:1891084026
Name:TOWL, TENNYSON EPPING (AP)
Entity Type:Individual
Prefix:DR
First Name:TENNYSON
Middle Name:EPPING
Last Name:TOWL
Suffix:
Gender:F
Credentials:AP
Other - Prefix:DR
Other - First Name:TENNYSON
Other - Middle Name:EPPING
Other - Last Name:TOWL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5112 15TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-6031
Mailing Address - Country:US
Mailing Address - Phone:727-310-4321
Mailing Address - Fax:
Practice Address - Street 1:5112 15TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-6031
Practice Address - Country:US
Practice Address - Phone:727-310-4321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-28
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP4164171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist