Healthcare Provider Details

I. General information

NPI: 1568414514
Provider Name (Legal Business Name): TONI RENEE ABRAHAM CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TONI RENEE BARGE

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 08/08/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24476 E LOUISANA CIR
AURORA CO
80018
US

IV. Provider business mailing address

13553 STATE ROAD 54 STE 130
ODESSA FL
33556-3527
US

V. Phone/Fax

Practice location:
  • Phone: 303-929-3420
  • Fax:
Mailing address:
  • Phone: 303-929-3420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9193373
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number209021153
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN.0002457-CRNA
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: