Provider Demographics
NPI:1306030358
Name:TONEY, ANGELA R (NP)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:R
Last Name:TONEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28467 DUPONT BLVD UNIT 6
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-3749
Mailing Address - Country:US
Mailing Address - Phone:302-542-4999
Mailing Address - Fax:302-448-1222
Practice Address - Street 1:28467 DUPONT BLVD UNIT 6
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-3749
Practice Address - Country:US
Practice Address - Phone:302-542-4999
Practice Address - Fax:302-448-1222
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELP-0000228363L00000X, 363LA2200X
NY302441363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01913322Medicaid
BB5574Medicare PIN
S83490Medicare UPIN