Provider Demographics
NPI:1386871754
Name:OWENS, TONIA L (RN, BSN)
Entity type:Individual
Prefix:
First Name:TONIA
Middle Name:L
Last Name:OWENS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 JUDD RD
Mailing Address - Street 2:
Mailing Address - City:AMELIA
Mailing Address - State:OH
Mailing Address - Zip Code:45102-1401
Mailing Address - Country:US
Mailing Address - Phone:513-313-7646
Mailing Address - Fax:
Practice Address - Street 1:315 JUDD RD
Practice Address - Street 2:
Practice Address - City:AMELIA
Practice Address - State:OH
Practice Address - Zip Code:45102-1401
Practice Address - Country:US
Practice Address - Phone:513-313-7646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-336071163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse