MEDICARE: TONYA MARIE PERKINS

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	376K00000X	Nurse's Aide	9902535	PA

General Provider Information

NPI Number	:	1396691150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONYA MARIE PERKINS

Provider Business Mailing Address
First Line	:	5013 TACOMA ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-4115
Country	:	US
Telephone Number	:	267-453-5169
Fax Number	:

Provider Business Practice Location Address
First Line	:	5013 TACOMA ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-4115
Country	:	US
Telephone Number	:	267-453-5169
Fax Number	:	267-453-5169

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

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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