Provider Demographics
NPI:1043663669
Name:CHAFIN, TONYA L (APRN, NP-C)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:L
Last Name:CHAFIN
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 LENORE BUSINESS MALL
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSON
Mailing Address - State:WV
Mailing Address - Zip Code:25661-9199
Mailing Address - Country:US
Mailing Address - Phone:304-236-3601
Mailing Address - Fax:304-236-3602
Practice Address - Street 1:50 LENORE BUSINESS MALL
Practice Address - Street 2:
Practice Address - City:WILLIAMSON
Practice Address - State:WV
Practice Address - Zip Code:25661-9199
Practice Address - Country:US
Practice Address - Phone:304-236-3601
Practice Address - Fax:304-236-3602
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN80181-NP-C207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine