Nicholson, Tonya B

Nicholson, Tonya B is an individual health care provider with primary practice located at 2400 Bellevue Rd Erin Office Suite 26, Dublin GA 31021-2885. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Nicholson, Tonya B can be contacted via phone (478) 275-1304.

Contact Information

Primary practice address
2400 Bellevue Rd Erin Office Suite 26 Dublin GA 31021-2885
Phone: (478) 275-1304
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP-9165179 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 131379 Georgia

Profile Details

NPI number 1538167523
LBN Legal business name Nicholson, Tonya B
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Mar 16th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538167523 NPPES
Florida MEDICAID 3047831-00

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