Provider Demographics
NPI:1831521541
Name:CAMPBELL, TONYA D (RN)
Entity type:Individual
Prefix:MS
First Name:TONYA
Middle Name:D
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 S PARKER RD
Mailing Address - Street 2:WATER PARK III
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1623
Mailing Address - Country:US
Mailing Address - Phone:303-505-7578
Mailing Address - Fax:
Practice Address - Street 1:2530 S PARKER RD
Practice Address - Street 2:WATER PARK III
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1623
Practice Address - Country:US
Practice Address - Phone:303-505-7578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO192997163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse