Provider Demographics
NPI:1669777330
Name:PINTOGROSS, TONNA (LPN)
Entity type:Individual
Prefix:
First Name:TONNA
Middle Name:
Last Name:PINTOGROSS
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 1:6590 APPLETON CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-8841
Mailing Address - Country:US
Mailing Address - Phone:513-261-9637
Mailing Address - Fax:
Practice Address - Street 1:6590 APPLETON CT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-8841
Practice Address - Country:US
Practice Address - Phone:513-261-9637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH142151164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse