Provider Demographics
NPI:1700258589
Name:HADDEN, TONYA KAY (APRN)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:KAY
Last Name:HADDEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-7604
Mailing Address - Country:US
Mailing Address - Phone:859-737-6481
Mailing Address - Fax:859-737-6640
Practice Address - Street 1:225 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-7604
Practice Address - Country:US
Practice Address - Phone:859-737-6481
Practice Address - Fax:859-737-6640
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-20
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3009554363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner