Fender, Tonya Lacole

Fender, Tonya Lacole is an individual health care provider with primary practice located at 3200 Providence Dr , Anchorage AK 99508-4615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fender, Tonya Lacole can be contacted via phone (907) 212-5006.

Contact Information

Primary practice address
3200 Providence Dr Anchorage AK 99508-4615
Phone: (907) 212-5006
Fax: (907) 212-4896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1239 Alaska

Profile Details

NPI number 1770541724
LBN Legal business name Fender, Tonya Lacole
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Dec 21st, 2015 - about 10 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 1770541724 NPPES
Alaska MEDICAID 1575349

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