Toni Balton, LPN

Individual provider Active NPI Licensed Practical Nurse · Martin, TN

NPI 1811267446 · NPPES record last updated Jan 12, 2012

Key facts

NPI
1811267446
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN0000071151 (TN)
Practice address
920 University St
Martin, TN 38237-1605
Phone
(731) 588-5829
Fax
(731) 588-5834
NPI assigned
Jan 12, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN0000071151TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN0000071151 TN Yes

Addresses

Primary practice location

920 University St
Martin, TN 38237-1605

Mailing address

PO Box 640
McMinnville, TN 37111-0640
Phone (931) 507-1212

Other providers in Martin, TN

All providers in Martin, TN · Licensed Practical Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.