Provider Demographics
NPI:1811702921
Name:LAFORGE, TONYA ANNETTE (MSN, RN)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:ANNETTE
Last Name:LAFORGE
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5410 FM 842
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-2300
Mailing Address - Country:US
Mailing Address - Phone:936-676-5247
Mailing Address - Fax:
Practice Address - Street 1:5707 NORTH ST
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-1325
Practice Address - Country:US
Practice Address - Phone:936-468-7724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX647107163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult