Provider Demographics
NPI:1760374136
Name:TOMLIN, AIYANA NICOLE
Entity type:Individual
Prefix:
First Name:AIYANA
Middle Name:NICOLE
Last Name:TOMLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 GLOUCESTER CT
Mailing Address - Street 2:
Mailing Address - City:EASTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-3229
Mailing Address - Country:US
Mailing Address - Phone:609-500-4650
Mailing Address - Fax:
Practice Address - Street 1:16 W FRONT ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08608-2010
Practice Address - Country:US
Practice Address - Phone:609-695-1977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty