Provider Demographics
NPI:1992519375
Name:MANN, TONYA LYNETTE
Entity type:Individual
Prefix:MS
First Name:TONYA
Middle Name:LYNETTE
Last Name:MANN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:TONYA
Other - Middle Name:LYNETTE
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2777 NOBLE RD APT 9
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44121-2245
Mailing Address - Country:US
Mailing Address - Phone:234-243-9685
Mailing Address - Fax:
Practice Address - Street 1:2777 NOBLE RD APT 9
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44121-2245
Practice Address - Country:US
Practice Address - Phone:234-243-9685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH53414022221TM372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion