Individual
MRS. TONYA POWELL MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.F.A.
Contact information
Practice address
266 KATHERINE DR, FLOWOOD, MS 39232-8801
(601) 420-3223
(601) 420-3054
Mailing address
266 KATHERINE DR, FLOWOOD, MS 39232-8801
(601) 420-3223
(601) 420-3054
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R862448
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R862448
RN LICENSE
—
01
—
W081643
CNOR CERTIFICATION
—
Enumeration date
05/13/2009
Last updated
05/13/2009
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