Healthcare Provider Details

I. General information

NPI: 1184997413
Provider Name (Legal Business Name): TONYA LYNN REDING RN, CHPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2012
Last Update Date: 08/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CORPORATE PARK SUITE 100
IRVINE CA
92606-5113
US

IV. Provider business mailing address

5 CORPORATE PARK SUITE 100
IRVINE CA
92606-5113
US

V. Phone/Fax

Practice location:
  • Phone: 949-777-8600
  • Fax: 949-777-8629
Mailing address:
  • Phone: 949-777-8600
  • Fax: 949-777-8629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number394838
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: