Provider Demographics
NPI:1912149857
Name:TOLES, ANYA P
Entity Type:Individual
Prefix:MS
First Name:ANYA
Middle Name:P
Last Name:TOLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ROBINS WEST PKWY
Mailing Address - Street 2:APT #302
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-8121
Mailing Address - Country:US
Mailing Address - Phone:678-882-7042
Mailing Address - Fax:
Practice Address - Street 1:UNIT 15244
Practice Address - Street 2:BOX 836
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96205-5244
Practice Address - Country:US
Practice Address - Phone:678-882-7042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN184300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse