| Doctor Name: | MRS. TONYA ELAINE ANDERSON |
| NPI Number: | 1750794723 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, FNP-BC |
| License Number: | 1-083418 |
| Business Practice Address: | 14634 Saint Stephens Ave Chatom, AL - 365186711 |
| Business Phone Number: | 2518476262 |
| Business Fax Number: | 2518476277 |
| Mailing Address: | Po Box 1237, CHATOM |
| State: | AL |
| Postal Code: | 365181237 |
| Phone Number: | 2518476262 |
| Fax Number: | 2518476277 |
| NPI Enumeration Date: | 06/08/2014 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1-083418 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |