NPI Code Details Logo

NPI 1659443059

NPI 1659443059 : TONYA L PREVIGLIAN CRNA : OLEAN, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1659443059
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    TONYA L PREVIGLIAN CRNA
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/14/2006
-----------------------------------------------------
    Last Update Date     |    08/18/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    515 MAIN ST 
-----------------------------------------------------
    City                 |    OLEAN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    14760-1513
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    716-373-2600
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4511 HARLEM RD RM 3 
-----------------------------------------------------
    City                 |    AMHERST
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    14226-3822
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    716-886-0444
-----------------------------------------------------
    Fax                  |    716-885-7070
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    367500000X
-----------------------------------------------------
    Taxonomy Name        |    Certified Registered Nurse Anesthetist
-----------------------------------------------------
    License Number       |    412948-1
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.