Provider Demographics
NPI:1891931341
Name:MURPHY, TONYA D (APRN, CPNP)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:D
Last Name:MURPHY
Suffix:
Gender:F
Credentials:APRN, CPNP
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, CPNP
Mailing Address - Street 1:PO BOX 5576
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79704-5576
Mailing Address - Country:US
Mailing Address - Phone:432-697-4747
Mailing Address - Fax:432-699-3813
Practice Address - Street 1:4214 ANDREWS HWY STE 310
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703-4822
Practice Address - Country:US
Practice Address - Phone:432-697-4747
Practice Address - Fax:432-699-3813
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127134363LP0200X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR179917758Medicaid