Provider Demographics
NPI:1740043496
Name:DZINIC, TONI (FNP)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:DZINIC
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 S EADS ST APT 1236S
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-2960
Mailing Address - Country:US
Mailing Address - Phone:609-638-6841
Mailing Address - Fax:
Practice Address - Street 1:1600 S EADS ST APT 1236S
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-2960
Practice Address - Country:US
Practice Address - Phone:609-638-6841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024189394363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily