Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tonya Moultrie

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1609237247

Tonya Moultrie is a Nurse Practitioner in Canton, Ohio. Qualified in 2021, 5 years ago. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2016
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Practice location Address checks out

1223 Market Ave N
Canton, OH 44714-2603
Phone: (234) 274-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0035615 (OH)

Record details

NPI number1609237247
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2016
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address1223 Market Ave N, Canton, OH 44714-2603

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Canton