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NPI Code Detail

MEDICARE: TONYA ANDERSON APRN

MEDICARE: TONYA ANDERSON APRN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner9466633FL
2363LF0000XFamily Nurse Practitioner18852TN
3363L00000XNurse PractitionerAPN0000018852TN
4363LF0000XFamily Nurse PractitionerAPN0000018852TN
5363L00000XNurse PractitionerARNP9466633FL
6363LP0808XPsychiatric/Mental Health Nurse Practitioner18852TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11821497744OTHERTNNPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821497744
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA ANDERSON APRN
Provider Business Mailing Address
First Line : 300 RIDGE RD
Second Line :
City : DECATUR
State : TN
Zip : 37322-7048
Country : US
Telephone Number : 423-368-4713
Fax Number :
Provider Business Practice Location Address
First Line : 1940 HARRISON AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4542
Country : US
Telephone Number : 850-763-0017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2014
Last Update Date : 02/06/2026

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