Provider Demographics
NPI:1134738180
Name:EPLIN, TONYA RENEE (RN)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:RENEE
Last Name:EPLIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:RENEE
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4329 HUGHES BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-9768
Mailing Address - Country:US
Mailing Address - Phone:304-733-6415
Mailing Address - Fax:304-733-6429
Practice Address - Street 1:4329 HUGHES BRANCH RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-9768
Practice Address - Country:US
Practice Address - Phone:304-733-6415
Practice Address - Fax:304-733-6429
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV69792163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse