Provider Demographics
NPI:1740524024
Name:BRIGHTLY, TONIA LOUELL (CNA, AAB)
Entity type:Individual
Prefix:MISS
First Name:TONIA
Middle Name:LOUELL
Last Name:BRIGHTLY
Suffix:
Gender:F
Credentials:CNA, AAB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 MERCER UNIVERSITY DR
Mailing Address - Street 2:APARTMENT 104
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-7000
Mailing Address - Country:US
Mailing Address - Phone:678-404-8528
Mailing Address - Fax:
Practice Address - Street 1:3230 MERCER UNIVERSITY DR
Practice Address - Street 2:APARTMENT 104
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-7000
Practice Address - Country:US
Practice Address - Phone:678-404-8528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide