Provider Demographics
NPI:1891593521
Name:VARGAS, TONIA ISEDREA (STNA)
Entity type:Individual
Prefix:
First Name:TONIA
Middle Name:ISEDREA
Last Name:VARGAS
Suffix:
Gender:
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7132 TRADE WINDS TRL UNIT 301
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-8069
Mailing Address - Country:US
Mailing Address - Phone:614-897-4056
Mailing Address - Fax:
Practice Address - Street 1:7132 TRADE WINDS TRL UNIT 301
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-8069
Practice Address - Country:US
Practice Address - Phone:614-897-4056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172A00000X, 174200000X, 332U00000X, 374U00000X, 376J00000X
OH602616781224376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No172A00000XOther Service ProvidersDriver
No174200000XOther Service ProvidersMeals
No332U00000XSuppliersHome Delivered Meals
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker