Provider Demographics
NPI:1700668506
Name:FRILEY, TONYA BETH
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:BETH
Last Name:FRILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 WILKSVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:OH
Mailing Address - Zip Code:45634
Mailing Address - Country:US
Mailing Address - Phone:740-577-4204
Mailing Address - Fax:
Practice Address - Street 1:250 WILKSVILLE AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:OH
Practice Address - Zip Code:45634-4563
Practice Address - Country:US
Practice Address - Phone:174-057-7420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide