Tonya L. Abdul-Shaheed, RN, BSN
Individual provider Active NPI Registered Nurse · McDonough, GA
NPI 1043786452 · NPPES record last updated Oct 23, 2018
Key facts
- NPI
- 1043786452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN177760 (GA)
- Practice address
- 1135 Ethans Way
McDonough, GA 30252-8576 - Phone
- (770) 542-7398
- NPI assigned
- Oct 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN177760 | GA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN177760 | GA | Yes |
Addresses
Primary practice location
1135 Ethans Way
McDonough, GA 30252-8576
Mailing address
1135 Ethans Way
McDonough, GA 30252-8576
Phone (770) 542-7398
Other providers in McDonough, GA
- A Plus Medical Staffing LLC
- A Recovery Place Counseling LLC
- A Serene Mind Counseling Services LLC
- Aac & Me Speech and Language Services
- Aaura Healthcare LLC
- Abliss Home Healthcare
- Alexis Abreu
- Absolute Healthcare of McDonough
- Ace Educationinternational Inc
- Aceeba Health Care LLC
All providers in McDonough, GA · Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.