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Individual

TONYA S FENZL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.M.

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
71014602A
IN
367A00000X
Advanced Practice Midwife
APRN9489996
FL
367A00000X
Advanced Practice Midwife
RN393909
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115505700
FL
01
OA244
MEDICARE HF
FL
Enumeration date
08/08/2013
Last updated
11/15/2023
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