Davis, Tonya

Davis, Tonya is an sole proprietor health care provider with primary practice located at 3101 Se 14Th St , Bentonville AR 72712-4900. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Davis, Tonya can be contacted via phone (479) 986-6199.

Contact Information

Primary practice address
3101 Se 14Th St Bentonville AR 72712-4900
Phone: (479) 986-6199
Fax: (479) 636-0371
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X AP133496 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP133496 Texas

Profile Details

NPI number 1730629163
LBN Legal business name Davis, Tonya
Credentials AGPCNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2017
Last updated Jun 18th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730629163 NPPES
Arkansas MEDICAID 236258758
Arkansas MEDICAID 420075835
Arkansas Other P02334973
Arkansas Other 5E134

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