Provider Demographics
NPI:1184446528
Name:TONKS, ALYSSA LYNNE (DNP, RN)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:LYNNE
Last Name:TONKS
Suffix:
Gender:F
Credentials:DNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 NORTH AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05408-2805
Mailing Address - Country:US
Mailing Address - Phone:802-863-1313
Mailing Address - Fax:
Practice Address - Street 1:1205 NORTH AVE STE 2
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05408-2805
Practice Address - Country:US
Practice Address - Phone:802-863-1313
Practice Address - Fax:802-863-2396
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0137186207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine