Individual
TONYA PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1101 NEAL ST, COOKEVILLE, TN 38501-0901
(931) 528-8593
Mailing address
1833 HOLIDAY HAVEN DR, SMITHVILLE, TN 37166-7360
(931) 303-1923
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
77317
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77317
LPN LICENSE
TN
Enumeration date
01/25/2013
Last updated
01/25/2013
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