Provider Demographics
NPI:1841641842
Name:STANCIL, TONYA (PA)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:STANCIL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 RED ASH CIR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-1795
Mailing Address - Country:US
Mailing Address - Phone:919-699-6368
Mailing Address - Fax:
Practice Address - Street 1:1217 RED ASH CIR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-1795
Practice Address - Country:US
Practice Address - Phone:919-699-6368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant