Provider Demographics
NPI:1801347729
Name:THOMAS, TONI HARAWAY (NP-C)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:HARAWAY
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 VESTAVIA PKWY STE 406
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-3763
Mailing Address - Country:US
Mailing Address - Phone:256-964-2708
Mailing Address - Fax:205-573-2000
Practice Address - Street 1:400 VESTAVIA PKWY STE 406
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-3763
Practice Address - Country:US
Practice Address - Phone:256-964-2708
Practice Address - Fax:205-573-2000
Is Sole Proprietor?:No
Enumeration Date:2016-10-14
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132262363LA2200X, 363LG0600X
OH0034387363LA2200X
AL1-126361363LA2200X
TN29072363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology