Individual
MS. TONYA GREENE STELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
13170 DUTCHTOWN POINT AVE APT 1421, GONZALES, LA 70737-0105
(225) 773-0942
Mailing address
13170 DUTCHTOWN POINT AVE APT 1421, GONZALES, LA 70737-0105
(225) 773-0942
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
219194
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNKNOWN
—
LA
Enumeration date
04/14/2021
Last updated
09/14/2021
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