Tonya R Fisher
Individual provider Active NPI Nurse's Aide · Caledonia, OH
NPI 1821452939 · NPPES record last updated Apr 5, 2016
Key facts
- NPI
- 1821452939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 401800761115 (OH)
- Practice address
- 205 N High St
Caledonia, OH 43314-7717 - Phone
- (740) 341-6894
- NPI assigned
- Apr 5, 2016
- 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 |
|---|---|---|---|
| 401800761115 | OH | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 401800761115 | OH | Yes |
Addresses
Primary practice location
205 N High St
Caledonia, OH 43314-7717
Mailing address
205 N High St
Caledonia, OH 43314-7717
Phone (740) 341-6894
Other providers in Caledonia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2016. 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.