TONYA ERDLE


Address: 39 Fisk Pl, Avon, NY 14414-1213
Phone: 5857378005

TONYA ERDLE (NPI# 1861975658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861975658
Entity Type Individual
Full Name TONYA ERDLE
Credential FNP
Practice Address 39 Fisk Pl
Avon
NY 14414-1213
Mailing Address 100 Kings Hwy S
Rochester
NY 14617-5504
Practice Telephone 5857378005
Mailing Telephone 5859220553
Enumeration Date 2018-09-08
Last Update Date 2018-12-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
343806 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY NEW YORK STATE LICENSE, NP 343806 01
NY NEW YORK STATE REGISTERED PROFESSIONAL NURSE LICENSE 695760 01
AMERICAN ACADEMY OF NURSE PRACTITIONERS NATIONAL CERTIFICATION B F07181140 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
222 Alexander Street, Rochester, NY 14607 5859228070 5859228078

Office Location

Street Address 39 FISK PL
City AVON
State NY
Zip Code 14414-1213

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205059185 Peter J. Dolan Physician Assistant 2077 Lakeville Rd, Suite 3, Avon, NY 14414 2007-04-10
1710053335 Steven Richard Bruno Dentist 478 Collins Street, Avon Family Dental Care, Avon, NY 14414 2006-11-27
1225146640 Michael Kevin Oros Dentist 39 West Main Street, Avon, NY 14414 2006-08-26
1275854556 Wesley Herrick Marean IIi Occupational Therapy Assistant 17 Bronson Ave, Avon, NY 14414-1001 2010-06-21
1114334026 Heather Marie Lynn Gerace Specialist/Technologist 96 High St, Avon, NY 14414-1004 2014-07-14
1588986277 Theresa M Rosa Licensed Practical Nurse 45 High St, Apt. 1, Avon, NY 14414-1070 2010-02-22
1265886097 Carol Schrader Registered Nurse 15 Wadsworth Ave, Avon, NY 14414-1123 2016-04-18
1275959447 Michelle Fries Specialist 87 Wadsworth Ave, Avon, NY 14414-1125 2014-03-12
1437245255 Richard Lynn Schillinger Dentist 74 W Main St, Avon, NY 14414-1136 2006-10-05
1366533887 Stephanie Lynn Burroughs Dentist 74 W Main St, Avon, NY 14414-1136 2006-09-28
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164040093 Maria Pihlblad Nurse Practitioner 39265 Arlington Dr, Avon, OH 44011-4781 2020-07-07
1336669886 Rachel L Hickman Nurse Practitioner 850 West Beaver Creek Blvd, Avon, CO 81620-9201 2017-06-26
1730609447 Amber Eades Nurse Practitioner 1111 Ronald Reagan Pkwy Ste B-1500, Avon, IN 46123-7085 2017-06-23
1467999151 Jaime M Hopper Nurse Practitioner 7828 Village Green Dr, Avon, IN 46123-7228 2017-01-19
1568829059 Jessica Ryan Springer Nurse Practitioner 36130 N Park Dr, Avon, OH 44011 2016-01-28
1386000479 Danielle Pfeffer Nurse Practitioner 1115 Ronald Reagan Pkwy Ste 283, Avon, IN 46123-6914 2016-01-06
1710284526 Jennifer Ann Barnes Nurse Practitioner 1115 Ronald Reagan Pkwy Ste 141, Avon, IN 46123-6913 2011-02-15
1609185206 Melanie Marie Block-thralls Nurse Practitioner 10706 East Us Highway 36, Avon Urgent Care, Avon, IN 46123 2010-09-29
1811164593 Kathy Gretton Nurse Practitioner 1675 Rosewood Dr, Avon, IN 46123-6552 2008-05-13
1033394135 Lucia C London Nurse Practitioner 230 Chapel Place, Unit D101, Avon, CO 81620 2008-01-08
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Competitor

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City AVON
Zip Code 14414

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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