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NPI Code Detail

MEDICARE: TONYA ELIZABETH FIFE FNP

MEDICARE: TONYA ELIZABETH FIFE FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner637966TX
2363LF0000XFamily Nurse PractitionerAP113505TX

General Provider Information

NPI Number : 1184697047
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA ELIZABETH FIFE FNP
Provider Business Mailing Address
First Line : 2804 N LOOP 289
Second Line :
City : LUBBOCK
State : TX
Zip : 79415-1410
Country : US
Telephone Number : 806-744-7223
Fax Number : 806-740-3325
Provider Business Practice Location Address
First Line : 2412 50TH ST
Second Line : SUITE 202
City : LUBBOCK
State : TX
Zip : 79412-2504
Country : US
Telephone Number : 806-744-7223
Fax Number : 806-740-3325
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 07/19/2016

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Directions to “ TONYA ELIZABETH FIFE FNP” Practice Location

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