Individual
TONYA S FENZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
2043 LITTLE RD, TRINITY, FL 34655-4421
(727) 846-7000
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(727) 316-6210
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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