Provider Demographics
NPI:1912336926
Name:CHRISTOPHER, TONYA (LPN)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 MORRISON AVE
Mailing Address - Street 2:APT 10E
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-4443
Mailing Address - Country:US
Mailing Address - Phone:917-232-1318
Mailing Address - Fax:
Practice Address - Street 1:825 MORRISON AVE
Practice Address - Street 2:APT 10E
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-4443
Practice Address - Country:US
Practice Address - Phone:917-232-1318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-11
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314264164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse