Individual
MRS. TONYA DENISE HASTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
111 S FAIRVIEW RD, ROCKY MOUNT, NC 27801-6971
(252) 212-6810
(252) 212-3497
Mailing address
690 POPLAR LN, HALIFAX, NC 27839-7702
(252) 578-4255
(252) 212-3497
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017034
NC
363L00000X
Nurse Practitioner
HAST-TN20P
NC
363LP2300X
Primary Care Nurse Practitioner
HAST-TN20P
NC
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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