Provider Demographics
NPI:1487437752
Name:HANLEY, TONYA MICHELLE (PA-C)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:MICHELLE
Last Name:HANLEY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1411 E HANNA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-6821
Mailing Address - Country:US
Mailing Address - Phone:719-440-4331
Mailing Address - Fax:
Practice Address - Street 1:3301 W GANDY BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-2931
Practice Address - Country:US
Practice Address - Phone:813-925-1903
Practice Address - Fax:813-749-8370
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-09-18
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant