MEDICARE: TONYA A. CARTER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	0001240060	VA

General Provider Information

NPI Number	:	1528490109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONYA A. CARTER RN

Provider Business Mailing Address
First Line	:	4500 WILLOWDALE CT
Second Line	:
City	:	SOUTH CHESTERFIELD
State	:	VA
Zip	:	23803-1715
Country	:	US
Telephone Number	:	804-638-9474
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 E LABURNUM AVE STE 3
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23222-2134
Country	:	US
Telephone Number	:	804-638-9474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2013
Last Update Date	:	06/30/2025

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