Tonya Jenettia Balthrop, L.P.N.
Individual provider Active NPI Licensed Practical Nurse · Chester, VA
NPI 1275836397 · NPPES record last updated Feb 21, 2019
Key facts
- NPI
- 1275836397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 0002068793 (VA)
- Practice address
- 4318 Old Hundred Rd Ste G
Chester, VA 23831-4231 - Phone
- (703) 386-0088
- NPI assigned
- Dec 11, 2010
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002068793 | VA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0002068793 | VA | Yes |
Addresses
Primary practice location
4318 Old Hundred Rd Ste G
Chester, VA 23831-4231
Mailing address
4318 Old Hundred Rd Ste G
Chester, VA 23831-4231
Phone (703) 386-0088
Other practice location 1
241 Arboretum Pl
#313
Richmond, VA 23236-3485
Phone (804) 677-4426
Other providers in Chester, VA
- Boshra Z Ayad
- Rebecca S Ayers
- Melanie A Bach
- Amanda Janis Baker
- Kailyn Marie Baker
- David William Barber
- Katharine Barksdale
- Svetlana Barrett
- Jordan Bass
- Uniqua Olivia Baugh
All providers in Chester, VA · Licensed Practical Nurse in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2019. 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.