Healthcare Provider Details

I. General information

NPI: 1497256606
Provider Name (Legal Business Name): TONYA WORKMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1492 S MILL AVE STE 212
TEMPE AZ
85281-5664
US

IV. Provider business mailing address

PO BOX 2288
PIKEVILLE KY
41502-2288
US

V. Phone/Fax

Practice location:
  • Phone: 480-410-4128
  • Fax: 480-410-4130
Mailing address:
  • Phone: 606-432-2172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number286464
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: