Provider Demographics
NPI:1053286070
Name:HARDEN, TONYA LYNETTE (RN, BSN)
Entity type:Individual
Prefix:MS
First Name:TONYA
Middle Name:LYNETTE
Last Name:HARDEN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 SWEET BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-9500
Mailing Address - Country:US
Mailing Address - Phone:336-402-0875
Mailing Address - Fax:336-856-7075
Practice Address - Street 1:7659 JACKSON SCHOOL RD
Practice Address - Street 2:
Practice Address - City:BROWNS SUMMIT
Practice Address - State:NC
Practice Address - Zip Code:27214-9706
Practice Address - Country:US
Practice Address - Phone:336-402-0875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200612163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse