Provider Demographics
NPI:1427482835
Name:BARBER, TONYA RENEE (LPN)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:RENEE
Last Name:BARBER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:RENEE
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:6722 MONTGOMERY RD
Mailing Address - Street 2:6
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-3865
Mailing Address - Country:US
Mailing Address - Phone:513-344-8920
Mailing Address - Fax:
Practice Address - Street 1:6722 MONTGOMERY RD
Practice Address - Street 2:6
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-3865
Practice Address - Country:US
Practice Address - Phone:513-344-8920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH106107164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse