Provider Demographics
NPI:1477840908
Name:BARNETT, TONYA L (RN)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:L
Last Name:BARNETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43609-2263
Mailing Address - Country:US
Mailing Address - Phone:567-249-7408
Mailing Address - Fax:
Practice Address - Street 1:1311 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43609-2263
Practice Address - Country:US
Practice Address - Phone:567-249-7408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN434988163WH1000X, 163WH0200X
OHRU459090374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No374U00000XNursing Service Related ProvidersHome Health Aide