Stelly, Tonya Greene
Stelly, Tonya Greene is an sole proprietor health care provider with primary practice located at 13170 Dutchtown Point Ave Apt 1421 , Gonzales LA 70737-0105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stelly, Tonya Greene can be contacted via phone (225) 773-0942.Contact Information
Primary practice address
13170 Dutchtown Point Ave Apt 1421
Gonzales LA 70737-0105
Phone: (225) 773-0942
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 219194 | Louisiana |
Profile Details
| NPI number | 1972183739 |
|---|---|
| LBN Legal business name | Stelly, Tonya Greene |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2021 |
| Last updated | Sep 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972183739 | NPPES |
| Louisiana | MEDICAID | UNKNOWN |
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