Tonya Darr, NP
Individual provider Active NPI Family Nurse Practitioner · Staunton, IL
NPI 1740286103 · NPPES record last updated Mar 3, 2012
Key facts
- NPI
- 1740286103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209003565 (IL)
- Practice address
- 444 N Edwardsville St
Staunton, IL 62088-1334 - Phone
- (618) 635-3800
- Fax
- (619) 635-3952
- NPI assigned
- Jun 21, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery County Surgical Associates, LLC | Past | Accepting new patients | |
| Specialized Wound Management LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209003565 | IL | Yes |
Addresses
Primary practice location
444 N Edwardsville St
Staunton, IL 62088-1334
Mailing address
444 N Edwardsville St
Staunton, IL 62088-1334
Phone (618) 635-3800
Other providers in Staunton, IL
- Community Hospital of Staunton
- Community Hospital of Staunton
- Community Hospital of Staunton
- Amy Costa
- Justin P Darr
- Davis Chiropractic Center, P.C.
- Shawn Christopher Davis
- Mark L Day
- Taylor Degler
- Emerald Glen Management
All providers in Staunton, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2012. 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.